Provider Demographics
NPI:1760468664
Name:TAYLOR, BETHANY JOY (PT)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:JOY
Last Name:TAYLOR
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 1:8700 MORAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-1986
Mailing Address - Country:US
Mailing Address - Phone:513-578-6200
Mailing Address - Fax:513-576-6333
Practice Address - Street 1:8700 MORAN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-1986
Practice Address - Country:US
Practice Address - Phone:513-578-6200
Practice Address - Fax:513-576-6333
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-09503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist