| Doctor Name: | THOMAS RYAN LONG |
| NPI Number: | 1801142989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT.013792 |
| Business Practice Address: | 4701 Creek Rd Suite 110 Blue Ash, OH - 452428398 |
| Business Phone Number: | 5135548080 |
| Business Fax Number: | 5135548082 |
| Mailing Address: | 4701 Creek Rd, Suite 110 BLUE ASH |
| State: | OH |
| Postal Code: | 452428398 |
| Phone Number: | 5135548080 |
| Fax Number: | 5135548082 |
| NPI Enumeration Date: | 07/26/2012 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT.013792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |