Healthcare Provider Details

I. General information

NPI: 1376460865
Provider Name (Legal Business Name): THOMAS RIZZO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 CLEPPER LN
CINCINNATI OH
45245-1535
US

IV. Provider business mailing address

815 CLEPPER LN
CINCINNATI OH
45245-1535
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-3504
  • Fax:
Mailing address:
  • Phone: 513-752-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: