| Organization Name: | MID-OHIO IN HOME PHYSICAL THERAPY, LLC |
| NPI Number: | 1962634683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC RICHARD KEIPER (OWNER) |
| Mailing Address: | 206 N Main St Mt Gilead |
| State: | OH US |
| Postal Code: | 433381115 |
| Phone Number: | 4199480144 |
| Fax Number: | 4199466609 |
| NPI Enumeration Date: | 08/13/2009 |
| NPI Last Update Date: | 08/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |