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General NPI Number Information
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NPI Number | 1265455828
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Entity Type | Individual
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Provider Name | KATHERINE SUE MAUSHART PTA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6900 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45230-2910
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Country | US
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Telephone | 513-231-4561
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Fax | 513-624-3730
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Provider Business Mailing Address
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Address Line | 1582 CREEKSIDE RD
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City | AMELIA
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State | OH
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Zip | 45102-1794
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Country | US
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Telephone | 513-943-0058
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 04228
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License Number State | OH
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