Provider Demographics
NPI:1144750407
Name:DEMIS, WILLIAM T (DPT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:DEMIS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:70 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1397
Mailing Address - Country:US
Mailing Address - Phone:614-539-5301
Mailing Address - Fax:614-539-8658
Practice Address - Street 1:2185 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2989
Practice Address - Country:US
Practice Address - Phone:614-539-5301
Practice Address - Fax:614-539-8658
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH016869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist