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NPI Code Detail

MEDICARE: TERESA M MEYER

MEDICARE: TERESA M MEYER
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
12255A2300XAthletic TrainerAT.003829OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12255A2300XOTHEROHATHLETIC TRAINER

General Provider Information

NPI Number : 1619698479
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M MEYER
Provider Business Mailing Address
First Line : 25 PRIMROSE CT
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-3280
Country : US
Telephone Number : 513-284-8197
Fax Number :
Provider Business Practice Location Address
First Line : 1200 GLENDALE MILFORD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1209
Country : US
Telephone Number : 513-733-3370
Fax Number : 513-786-7893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2022
Last Update Date : 09/08/2022

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Directions to “ TERESA M MEYER ” Practice Location

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