Provider Demographics
NPI:1679716963
Name:CAIN NIMTZ, JAMIE MARIE (MOTR)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:CAIN NIMTZ
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 MERRYMAKER LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2749
Mailing Address - Country:US
Mailing Address - Phone:513-519-0865
Mailing Address - Fax:
Practice Address - Street 1:7900 MERRYMAKER LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2749
Practice Address - Country:US
Practice Address - Phone:513-519-0865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491225X00000X
OHOT.008971225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist