Provider Demographics
NPI:1184033896
Name:HUMASON, MARGARET ELLEN (MS, ATC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ELLEN
Last Name:HUMASON
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:MRS
Other - First Name:MAGGIE
Other - Middle Name:ELLEN
Other - Last Name:HUMASON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, ATC
Mailing Address - Street 1:8517 CAVALIER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5036
Mailing Address - Country:US
Mailing Address - Phone:616-502-0650
Mailing Address - Fax:
Practice Address - Street 1:8517 CAVALIER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5036
Practice Address - Country:US
Practice Address - Phone:616-502-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer