Healthcare Provider Details

I. General information

NPI: 1134452907
Provider Name (Legal Business Name): EMILY J SUMNER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E BUSINESS WAY SUITE C
CINCINNATI OH
45241-2374
US

IV. Provider business mailing address

500 E BUSINESS WAY SUITE C
CINCINNATI OH
45241-2374
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-3666
  • Fax: 513-389-3665
Mailing address:
  • Phone: 513-389-3666
  • Fax: 513-389-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-012473
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: