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NPI Code Detail

MEDICARE: MRS. JULIE ANN SMYTH PT

MEDICARE: MRS. JULIE ANN SMYTH PT
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
1225100000XPhysical Therapist6269OH

General Provider Information

NPI Number : 1245323534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN SMYTH PT
Provider Business Mailing Address
First Line : 3778 AULT PARK AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1704
Country : US
Telephone Number : 513-321-6369
Fax Number :
Provider Business Practice Location Address
First Line : 6900 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-2910
Country : US
Telephone Number : 513-231-4561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JULIE ANN SMYTH PT” Practice Location

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