MEDICARE: DREW TAYLOR EVANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33.024667	OH

General Provider Information

NPI Number	:	1033922406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DREW TAYLOR EVANS

Provider Business Mailing Address
First Line	:	4157 HARRISON AVE APT 7
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4521
Country	:	US
Telephone Number	:	513-888-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	4157 HARRISON AVE APT 7
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4521
Country	:	US
Telephone Number	:	513-888-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

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Directions to “ DREW TAYLOR EVANS ” Practice Location

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