MEDICARE: AMY L HARTLEY

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	33.016219	OH

General Provider Information

NPI Number	:	1164234324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY L HARTLEY

Provider Business Mailing Address
First Line	:	3926 FARRELL DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-3706
Country	:	US
Telephone Number	:	513-614-2310
Fax Number	:

Provider Business Practice Location Address
First Line	:	3069 MADISON RD FL 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1741
Country	:	US
Telephone Number	:	513-849-3771
Fax Number	:

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

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	01/24/2025

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Directions to “ AMY L HARTLEY ” Practice Location

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