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NPI Code Detail

MEDICARE: MR. STEPHEN J MINNING MPT

MEDICARE:  MR. STEPHEN J MINNING  MPT
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
12251S0007XSports Physical Therapist10890OH

General Provider Information

NPI Number : 1366410078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN J MINNING MPT
Provider Business Mailing Address
First Line : 1076 IVORYHILL DR
Second Line :
City : INDEPENDENCE
State : KY
Zip : 41051-9697
Country : US
Telephone Number : 859-760-3846
Fax Number :
Provider Business Practice Location Address
First Line : 2920 SCIOTO HALL, ROOM 108
Second Line :
City : CINCINNATI
State : OH
Zip : 45221-0001
Country : US
Telephone Number : 513-556-3178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ MR. STEPHEN J MINNING MPT” Practice Location

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