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NPI Code Detail

MEDICARE: MT. HEALTHY PREPARATORY & FITNESS ACADEMY

MEDICARE: MT. HEALTHY PREPARATORY & FITNESS ACADEMY
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1174808166
Entity Type Code : Organization
Provider Name (Legal Business Name) : MT. HEALTHY PREPARATORY & FITNESS ACADEMY
Provider Business Mailing Address
First Line : 7601 HARRISON AVE
Second Line :
City : MOUNT HEALTHY
State : OH
Zip : 45231-3107
Country : US
Telephone Number : 513-518-4038
Fax Number :
Provider Business Practice Location Address
First Line : 7601 HARRISON AVE
Second Line :
City : MOUNT HEALTHY
State : OH
Zip : 45231-3107
Country : US
Telephone Number : 513-518-4038
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : TOBY PINKERTON
Credential :
Telephone Number : 937-684-2501
Provider Enumeration Date : 10/21/2011
Last Update Date : 10/21/2011

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Directions to “MT. HEALTHY PREPARATORY & FITNESS ACADEMY ” Practice Location

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