Provider Demographics
NPI:1184151227
Name:FEUCHT, STEVEN GENNAR
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GENNAR
Last Name:FEUCHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9235
Mailing Address - Country:US
Mailing Address - Phone:614-668-0199
Mailing Address - Fax:
Practice Address - Street 1:2375 FERNWOOD AVE
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9235
Practice Address - Country:US
Practice Address - Phone:614-668-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer