Healthcare Provider Details

I. General information

NPI: 1851568190
Provider Name (Legal Business Name): ANNE CATHERINE GUIST P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 WETHERBY LN
WESTERVILLE OH
43081-4957
US

IV. Provider business mailing address

1207 CLUBVIEW BLVD S
COLUMBUS OH
43235-1614
US

V. Phone/Fax

Practice location:
  • Phone: 614-841-3900
  • Fax: 614-841-3930
Mailing address:
  • Phone: 614-505-1479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006442
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: