Individual
DEREK KARL KAUTZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6350 GLENWAY AVE, SUITE 415, CINCINNATI, OH 45211-6378
(513) 347-9999
(513) 347-3999
Mailing address
6350 GLENWAY AVE, SUITE 415, CINCINNATI, OH 45211-6378
(513) 347-9999
(513) 347-3999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
010701
OH
2251X0800X
Orthopedic Physical Therapist
Primary
010701
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010701
OH PT LICENSE
OH
Enumeration date
02/02/2006
Last updated
01/02/2014
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