Provider Demographics
NPI:1922422864
Name:TREMBLY, ANN (LMT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:TREMBLY
Suffix:
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 1:643B STATE ROUTE 821
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-5304
Mailing Address - Country:US
Mailing Address - Phone:740-374-2663
Mailing Address - Fax:
Practice Address - Street 1:643B STATE ROUTE 821
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-5304
Practice Address - Country:US
Practice Address - Phone:740-374-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.004685 T-Z225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist