Healthcare Provider Details

I. General information

NPI: 1760163224
Provider Name (Legal Business Name): LAURA FRANTZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5380 E BROAD ST
COLUMBUS OH
43213-1391
US

IV. Provider business mailing address

4465 HUNTER LAKE DR
POWELL OH
43065-7947
US

V. Phone/Fax

Practice location:
  • Phone: 614-755-7591
  • Fax:
Mailing address:
  • Phone: 614-530-1012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT013685
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: