Provider Demographics
NPI:1982003430
Name:NAHM, BETH (MOT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:NAHM
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4997 S TOWNSHIP ROAD 159
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-8465
Mailing Address - Country:US
Mailing Address - Phone:419-447-2927
Mailing Address - Fax:429-447-2825
Practice Address - Street 1:928 W MARKET ST STE A
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2529
Practice Address - Country:US
Practice Address - Phone:419-447-2927
Practice Address - Fax:419-447-2825
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist