DR. THERESA MHANNA DAOM OM LAC NPI 1396179966

NPI Information

NPI: 1396179966
Provider Name: DR. THERESA MHANNA, DAOM, OM, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
3907 GRAND AVE
MIDDLETOWN, OH
ZIP 45044
Phone: (513) 329-5793
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DR. Theresa Mhanna, DAOM, OM, LAC is an acupuncturist in Middletown, OH. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. DR. Theresa Mhanna, DAOM, OM, LAC NPI is 1396179966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3907 GRAND AVE
MIDDLETOWN, OH
ZIP 45044-123
Phone: (513) 329-5793

The enumeration date for this NPI number is 8/30/2013 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171100000X	Acupuncturist	65.000239	OHIO	No
2	171100000X	Acupuncturist			No
3	171100000X	Acupuncturist	66.000032	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	460585977-00	OTHER	OHIO	BWC
2	1396179966	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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