Healthcare Provider Details

I. General information

NPI: 1598934564
Provider Name (Legal Business Name): MSM PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 GROSS ST
MARIETTA OH
45750-2031
US

IV. Provider business mailing address

160 GROSS ST
MARIETTA OH
45750-2031
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-3200
  • Fax: 740-374-9560
Mailing address:
  • Phone: 740-374-3200
  • Fax: 740-374-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL F. SPEAR
Title or Position: CEO, OWNER
Credential: RN, ATC
Phone: 740-374-3200