Individual
TANYA KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5500 HARRISON AVE, CINCINNATI, OH 45248-2361
(513) 661-3114
(513) 661-2310
Mailing address
8361 FAWN LAKE CT, CINCINNATI, OH 45247-3496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 09521
OH
2251P0200X
Pediatric Physical Therapist
CPO27196T
KY
Other
Enumeration date
02/23/2006
Last updated
03/07/2024
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