Provider Demographics
NPI:1417501131
Name:MULLEN-MUHR, ANNA KAYLIE (DPT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:KAYLIE
Last Name:MULLEN-MUHR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2361
Mailing Address - Country:US
Mailing Address - Phone:513-661-3114
Mailing Address - Fax:
Practice Address - Street 1:5500 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2361
Practice Address - Country:US
Practice Address - Phone:513-661-3114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist