Individual
JEFFREY MICHAEL RIESENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6909 GOOD SAMARITAN DRIVE, SUITE A, CINCINNATI, OH 45247-5207
(513) 245-5434
(513) 245-5424
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.008662
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579880
ANTHEM
OH
05
—
2922805
—
OH
Enumeration date
08/28/2008
Last updated
08/30/2021
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