Healthcare Provider Details

I. General information

NPI: 1215782552
Provider Name (Legal Business Name): CHRISTINA RENEE HAYEK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3113 BELLEVUE AVE
CINCINNATI OH
45219-3158
US

IV. Provider business mailing address

999 WAREHAM DR APT 120
CINCINNATI OH
45202-2823
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8000
  • Fax:
Mailing address:
  • Phone: 330-608-1469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020515
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: