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NPI Code Detail

MEDICARE: MS. AMY NICHOLE NELTNER PT

MEDICARE: MS. AMY NICHOLE NELTNER PT
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
1225100000XPhysical TherapistPT-10361OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730187626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY NICHOLE NELTNER PT
Provider Business Mailing Address
First Line : 4600 WESLEY AVE
Second Line : STE. N
City : CINCINNATI
State : OH
Zip : 45212-2298
Country : US
Telephone Number : 513-841-5520
Fax Number : 513-841-1580
Provider Business Practice Location Address
First Line : 2915 CLIFTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2402
Country : US
Telephone Number : 513-872-2000
Fax Number : 513-281-8842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 02/18/2010

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