Healthcare Provider Details

I. General information

NPI: 1760103428
Provider Name (Legal Business Name): EMILY SCHEIDENBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LLANFAIR AVE
CINCINNATI OH
45224-2972
US

IV. Provider business mailing address

2087 TRAILWOOD DR
CINCINNATI OH
45230-1495
US

V. Phone/Fax

Practice location:
  • Phone: 513-681-4230
  • Fax:
Mailing address:
  • Phone: 513-624-9544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: