MEDICARE: KIM SHEARER

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	3120	OH
2	225700000X	Massage Therapist	33.006667	OH

General Provider Information

NPI Number	:	1861757973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM SHEARER

Provider Business Mailing Address
First Line	:	3801 HAUCK RD
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-4607
Country	:	US
Telephone Number	:	513-346-5110
Fax Number	:	513-852-3117

Provider Business Practice Location Address
First Line	:	3801 HAUCK RD
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-4607
Country	:	US
Telephone Number	:	513-346-5110
Fax Number	:	513-852-3117

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

Provider Enumeration Date	:	07/05/2012
Last Update Date	:	03/18/2026

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Directions to “ KIM SHEARER ” Practice Location

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