Healthcare Provider Details

I. General information

NPI: 1861309494
Provider Name (Legal Business Name): RUTH NANCE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 BEECHMONT AVE
CINCINNATI OH
45255-6138
US

IV. Provider business mailing address

1363 WINDWILLOW TRCE
MAINEVILLE OH
45039-5038
US

V. Phone/Fax

Practice location:
  • Phone: 151-395-7493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA014404
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: