Individual
CHAD A TEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
8737 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4878
(513) 645-2246
(513) 645-2233
Mailing address
8737 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4878
(513) 645-2246
(513) 645-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547709
ANTHEM
OH
05
—
2675332
—
OH
01
—
P00607505
MEDICARE RAILROAD
OH
Enumeration date
06/14/2006
Last updated
01/22/2014
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