Healthcare Provider Details

I. General information

NPI: 1265368922
Provider Name (Legal Business Name): TRUDI ANGILI THOMAS LET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 COOK RD UNIT B
MILFORD OH
45150-1583
US

IV. Provider business mailing address

4147 MOUNT CARMEL TOBASCO RD APT 3
CINCINNATI OH
45255-3446
US

V. Phone/Fax

Practice location:
  • Phone: 513-576-6699
  • Fax:
Mailing address:
  • Phone: 513-576-6699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.027827
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: