Provider Demographics
NPI:1114529179
Name:RICE, TOBIATHA KAYE
Entity Type:Individual
Prefix:MS
First Name:TOBIATHA
Middle Name:KAYE
Last Name:RICE
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 1:1013 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1748
Mailing Address - Country:US
Mailing Address - Phone:513-465-0841
Mailing Address - Fax:
Practice Address - Street 1:1013 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1748
Practice Address - Country:US
Practice Address - Phone:513-465-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care