MEDICARE: KATHERINE ELIZABETH SMIGIEL P.T.

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	225100000X	Physical Therapist	10454	OH

General Provider Information

NPI Number	:	1912972316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ELIZABETH SMIGIEL P.T.

Provider Business Mailing Address
First Line	:	6312 STONYFORD CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1300
Country	:	US
Telephone Number	:	513-755-1751
Fax Number	:

Provider Business Practice Location Address
First Line	:	9275 MONTGOMERY RD
Second Line	:	SUITE 500
City	:	CINCINNATI
State	:	OH
Zip	:	45242-7779
Country	:	US
Telephone Number	:	513-936-4574
Fax Number	:	513-936-4551

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

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	10/26/2009

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