MEDICARE: MRS. ALANNAH NIKAYLA VIZI 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
1	225200000X	Physical Therapy Assistant	PTA013671	OH

General Provider Information

NPI Number	:	1669323051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALANNAH NIKAYLA VIZI PTA

Provider Business Mailing Address
First Line	:	14380 W STATE ROUTE 105
Second Line	:
City	:	OAK HARBOR
State	:	OH
Zip	:	43449-9415
Country	:	US
Telephone Number	:	419-707-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 ST LAWRENCE DR STE 104
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-8313
Country	:	US
Telephone Number	:	419-455-8600
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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