# MIDWEST THERAPY ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679652325
- **Authorized official:** MS. JESSI LEE (HR COORDINATOR)
- **Authorized official phone:** (937) 299-9337

## Contact information

- **Practice address:** 3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
- **Practice address phone:** (937) 299-9337
- **Practice address fax:** (937) 299-9227
- **Mailing address:** 3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
- **Mailing address phone:** (937) 299-9337
- **Mailing address fax:** (937) 299-9227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA3000X | Augmentative Communication Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 02/12/2008
