Provider Demographics
NPI:1457400988
Name:LEES, TIMOTHY BERNARD (PT)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:BERNARD
Last Name:LEES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5341 STONETRACE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4157
Mailing Address - Country:US
Mailing Address - Phone:513-385-8452
Mailing Address - Fax:513-367-1704
Practice Address - Street 1:1149 STONE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2763
Practice Address - Country:US
Practice Address - Phone:513-367-9299
Practice Address - Fax:513-367-1704
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT3431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLE0777652Medicare ID - Type Unspecified