Provider Demographics
NPI:1669178042
Name:TRAINER, JOSHUA R (LMT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:R
Last Name:TRAINER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 MAPLE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8890
Mailing Address - Country:US
Mailing Address - Phone:740-851-2223
Mailing Address - Fax:
Practice Address - Street 1:4429 MAPLE GROVE RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8890
Practice Address - Country:US
Practice Address - Phone:740-851-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
33.021315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist