Miami Valley Mt LLC

NPI #1609409317 in Englewood, Ohio

Provider Information

NPI Number: 1609409317
Entity Type: Organization
Organization Name: Miami Valley Mt LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 20, 2020
Last Updated: Feb 20, 2020

Practice Location

Address: 5 N MAIN ST
City: Englewood
State: Ohio
ZIP Code: 45322-1326
Phone: (937) 890-8660

Authorized Official

Name: RICHARD PHILLIPS, LMT
Title: LMT
Phone: (937) 890-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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