Michael T Slemons

Individual provider Active NPI Athletic Trainer · Cincinnati, OH

NPI 1740280239 · NPPES record last updated Jan 10, 2013

Key facts

NPI
1740280239
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT000679 (OH)
Practice address
7575 5 Mile Rd
Cincinnati, OH 45230
Phone
(513) 233-4360
Fax
(513) 233-4361
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT000679OHMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT000679 OH Yes

Addresses

Primary practice location

7575 5 Mile Rd
Cincinnati, OH 45230

Mailing address

4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone (513) 354-2916

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Athletic Trainer in Ohio

Sources for this page

Verify at the official NPI Registry.