Provider Demographics
NPI:1811191802
Name:STEWART, CECILIA MARIE IX (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:MARIE
Last Name:STEWART
Suffix:IX
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 BRACHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2007
Mailing Address - Country:US
Mailing Address - Phone:513-231-3239
Mailing Address - Fax:
Practice Address - Street 1:1739 E OHIO PIKE
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-2007
Practice Address - Country:US
Practice Address - Phone:513-797-8262
Practice Address - Fax:513-797-8274
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist