Individual
KAREN BACK-THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 E HATT SWANK RD, LOVELAND, OH 45140-6684
(513) 379-9520
Mailing address
720 E HATT SWANK RD, LOVELAND, OH 45140-6684
(513) 379-9520
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
401275210711
OH
3747P1801X
Personal Care Attendant
401275210711
OH
374U00000X
Home Health Aide
401275210711
OH
376J00000X
Homemaker
401275210711
OH
376K00000X
Nurse's Aide
Primary
401275210711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401275210711
STATE TESTED NURSE AIDE CERTIFICATION
OH
Enumeration date
08/10/2015
Last updated
08/10/2015
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