Provider Demographics
NPI:1093865156
Name:HINTZ, TODD L (PT)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:L
Last Name:HINTZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 N COLUMBUS ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8185
Mailing Address - Country:US
Mailing Address - Phone:740-687-5025
Mailing Address - Fax:740-687-4570
Practice Address - Street 1:2405 N COLUMBUS ST
Practice Address - Street 2:SUITE 140
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8185
Practice Address - Country:US
Practice Address - Phone:740-687-5025
Practice Address - Fax:740-687-4570
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT10376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist