MEDICARE: MR. STEVEN S BRODBECK LMT

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	225700000X	Massage Therapist	33.016097	OH

General Provider Information

NPI Number	:	1891485892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN S BRODBECK LMT

Provider Business Mailing Address
First Line	:	3285B TURPIN LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-3446
Country	:	US
Telephone Number	:	513-910-5543
Fax Number	:

Provider Business Practice Location Address
First Line	:	8041 HOSBROOK RD STE 404
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2909
Country	:	US
Telephone Number	:	513-910-5543
Fax Number	:

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

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	05/11/2023

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Directions to “ MR. STEVEN S BRODBECK LMT” Practice Location

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