Healthcare Provider Details

I. General information

NPI: 1003726126
Provider Name (Legal Business Name): CHARLOTTE J SHARKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4887 PRINCETON RD
HAMILTON OH
45011-8057
US

IV. Provider business mailing address

7777 WHITEHALL CIR E
WEST CHESTER OH
45069-1112
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-2400
  • Fax:
Mailing address:
  • Phone: 513-779-2400
  • Fax: 513-779-2444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.018783
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: