Healthcare Provider Details

I. General information

NPI: 1427863026
Provider Name (Legal Business Name): JOSEPH THOMAS HULEFELD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 WOODCREST LN
MAINEVILLE OH
45039-9550
US

IV. Provider business mailing address

3233 WOODCREST LN
MAINEVILLE OH
45039-9550
US

V. Phone/Fax

Practice location:
  • Phone: 513-507-8322
  • Fax:
Mailing address:
  • Phone: 513-507-8322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: