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NPI Code Detail

MEDICARE: KATHERINE SUE MAUSHART PTA

MEDICARE: KATHERINE SUE MAUSHART PTA
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
1225200000XPhysical Therapy Assistant04228OH

General Provider Information

NPI Number : 1265455828
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SUE MAUSHART PTA
Provider Business Mailing Address
First Line : 1582 CREEKSIDE RD
Second Line :
City : AMELIA
State : OH
Zip : 45102-1794
Country : US
Telephone Number : 513-943-0058
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 : 513-624-3730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ KATHERINE SUE MAUSHART PTA” Practice Location

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