Provider Demographics
NPI:1255571055
Name:LAUER, ANDREW E (MPT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:LAUER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 S HAMILTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3311
Mailing Address - Country:US
Mailing Address - Phone:614-471-5442
Mailing Address - Fax:614-471-5462
Practice Address - Street 1:358 S HAMILTON RD STE B
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3311
Practice Address - Country:US
Practice Address - Phone:614-471-5442
Practice Address - Fax:614-471-5462
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist