Provider Demographics
NPI:1033133244
Name:SMITHTERRY, TERRI R
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:R
Last Name:SMITHTERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 GLENWOOD AVE
Mailing Address - Street 2:APT#32
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-861-0313
Mailing Address - Fax:
Practice Address - Street 1:562 GLENWOOD AVE
Practice Address - Street 2:APT#32
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-861-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND2220377OtherINDEPENDENTHOMECAREPROVID
OH2220377OtherINDEPENDENTHOMECAREPROVID
OH2220377OtherINDEPENDENTPROVIDER