Healthcare Provider Details

I. General information

NPI: 1669920252
Provider Name (Legal Business Name): ASHLEY MICHELLE CRUSE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY MICHELLE ZAPPIA

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E BUSINESS WAY
CINCINNATI OH
45241-2374
US

IV. Provider business mailing address

6480 HARRISON AVE SUITE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-3666
  • Fax: 513-389-3665
Mailing address:
  • Phone: 513-815-5585
  • Fax: 859-342-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006860
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016430
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: