MEDICARE: MR. JOSHUA RICHARD TRUE MA, ATC, CSCS, FMSC

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	2255A2300X	Athletic Trainer	36001196A	IN
2	2255A2300X	Athletic Trainer	AT.004925	OH

General Provider Information

NPI Number	:	1306808209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA RICHARD TRUE MA, ATC, CSCS, FMSC

Provider Business Mailing Address
First Line	:	6804 FAIRWIND CT
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-6010
Country	:	US
Telephone Number	:	513-265-0509
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E BUSINESS WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2374
Country	:	US
Telephone Number	:	513-682-4111
Fax Number	:	513-682-5112

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	03/02/2017

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