Provider Demographics
NPI:1134620677
Name:SEMLER, ANNA ROSE
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:ROSE
Last Name:SEMLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4270 SNYPP RD
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-8767
Mailing Address - Country:US
Mailing Address - Phone:937-781-6309
Mailing Address - Fax:937-781-6309
Practice Address - Street 1:4270 SNYPP RD
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-8767
Practice Address - Country:US
Practice Address - Phone:937-781-6309
Practice Address - Fax:937-781-6309
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer