Healthcare Provider Details

I. General information

NPI: 1437201720
Provider Name (Legal Business Name): ANAHYAH YISRAEL LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3541 HAVEN ST
CINCINNATI OH
45220
US

IV. Provider business mailing address

1201 ASHMORE CT
CINCINNATI OH
45231-5591
US

V. Phone/Fax

Practice location:
  • Phone: 513-884-1100
  • Fax:
Mailing address:
  • Phone: 513-884-1100
  • Fax: 513-542-0352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberKY-2259
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.015535
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: