Provider Demographics
NPI:1003034893
Name:ULSH, REBECCA (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:ULSH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ULSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9200 MONTGOMERY RD
Mailing Address - Street 2:SUITE 10B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7789
Mailing Address - Country:US
Mailing Address - Phone:513-791-1888
Mailing Address - Fax:513-984-4521
Practice Address - Street 1:9200 MONTGOMERY RD
Practice Address - Street 2:SUITE 10B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7789
Practice Address - Country:US
Practice Address - Phone:513-791-1888
Practice Address - Fax:513-984-4521
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1103111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition