Provider Demographics
NPI:1851614929
Name:FRANK, PHILIP LOUIS (MS, ATC, CES)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:LOUIS
Last Name:FRANK
Suffix:
Gender:M
Credentials:MS, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3262 BROOKVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-4595
Mailing Address - Country:US
Mailing Address - Phone:740-657-4181
Mailing Address - Fax:
Practice Address - Street 1:675 LEWIS CENTER RD
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9049
Practice Address - Country:US
Practice Address - Phone:740-657-4181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-27202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer