Provider Demographics
NPI:1851598635
Name:TOMES, EMILY SUZANNE (PT)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:SUZANNE
Last Name:TOMES
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 1:7174 GRANTHAM WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2213
Mailing Address - Country:US
Mailing Address - Phone:513-698-2860
Mailing Address - Fax:513-232-5301
Practice Address - Street 1:2616 LEGENDS WAY
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-2386
Practice Address - Country:US
Practice Address - Phone:859-331-3100
Practice Address - Fax:859-331-4947
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011305225100000X
KY005178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0313533Medicaid