MEDICARE: MRS. KIMBERLY NARTKER PRESIDENT

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	261QP2000X	Physical Therapy Clinic/Center	PTA.05263	OH

General Provider Information

NPI Number	:	1558609404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY NARTKER PRESIDENT

Provider Business Mailing Address
First Line	:	4851 WUNNENBERG WAY
Second Line	:	SUITE C
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4855
Country	:	US
Telephone Number	:	513-874-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4851 WUNNENBERG WAY
Second Line	:	SUITE C
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4855
Country	:	US
Telephone Number	:	513-874-8800
Fax Number	:

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

Provider Enumeration Date	:	01/28/2013
Last Update Date	:	05/03/2013

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