Provider Demographics
NPI:1568547875
Name:MUELLER, GRETCHEN (PT)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8087 WASHINGTON VILLAGE DR
Mailing Address - Street 2:STE 101
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1840
Mailing Address - Country:US
Mailing Address - Phone:937-938-8380
Mailing Address - Fax:937-938-8392
Practice Address - Street 1:8087 WASHINGTON VILLAGE DR
Practice Address - Street 2:STE 101
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1840
Practice Address - Country:US
Practice Address - Phone:937-938-8380
Practice Address - Fax:937-938-8392
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT011399225100000X
NC10871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist