Provider Demographics
NPI:1710552351
Name:TOBLER, MADELEINE (ATC)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:TOBLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:MADDIE
Other - Middle Name:
Other - Last Name:TOBLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:215 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1722
Mailing Address - Country:US
Mailing Address - Phone:847-867-6580
Mailing Address - Fax:
Practice Address - Street 1:8801 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-5907
Practice Address - Country:US
Practice Address - Phone:513-741-5054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer