Provider Demographics
NPI:1154509917
Name:ARTHUR, PHILLIP (CEP, OF, GERON, CPT)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:CEP, OF, GERON, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8235
Mailing Address - Street 2:5010 NORTHPOINTE DR
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43702
Mailing Address - Country:US
Mailing Address - Phone:740-455-3481
Mailing Address - Fax:174-045-0290
Practice Address - Street 1:5010 NORTHPOINTE DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-455-3481
Practice Address - Fax:174-045-0290
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter