Mallory Marie Watson, ETC

Contractor · Cincinnati, OH

Individual Active NPI

NPI number 1396331500

Practice location

5914 Glenway Ave
Cincinnati, OH 45238-2009
Phone
(513) 478-4169

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NPI record

NPI
1396331500
Entity type
Individual (Type 1)
Enumeration date
December 12, 2020
Last updated
December 12, 2020
Certified
December 12, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 064574 OH

About Mallory Watson

Mallory Marie Watson, ETC is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 5914 Glenway Ave, Cincinnati, OH 45238-2009. The NPI number 1396331500 was assigned on December 12, 2020 and the record was last updated on December 12, 2020.

Mallory Watson lists a license in the registry: #064574 (OH) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Marie Watson, ETC?

The NPI number is 1396331500.

What is the phone number of Mallory Watson?

The phone number listed for the practice location is (513) 478-4169.

Where is Mallory Watson located?

5914 Glenway Ave, Cincinnati, OH 45238-2009.

What is the taxonomy code for Mallory Watson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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