Provider Demographics
NPI:1568359826
Name:RHOADS, ANNA SUSAN (MOT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:SUSAN
Last Name:RHOADS
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2478 RED BLUFF LN APT C
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7333
Mailing Address - Country:US
Mailing Address - Phone:937-239-1251
Mailing Address - Fax:
Practice Address - Street 1:3455 NANTUCKET CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-3732
Practice Address - Country:US
Practice Address - Phone:866-360-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT012389225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist