Healthcare Provider Details

I. General information

NPI: 1588176093
Provider Name (Legal Business Name): MIERS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10776 MONTGOMERY RD
CINCINNATI OH
45242-3213
US

IV. Provider business mailing address

10776 MONTGOMERY RD
CINCINNATI OH
45242-3213
US

V. Phone/Fax

Practice location:
  • Phone: 724-321-2493
  • Fax:
Mailing address:
  • Phone: 724-321-2493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID SCOTT MIERS
Title or Position: OWNER
Credential: PT, OCS, FAAOMPT, CS
Phone: 724-321-2493