Provider Demographics
NPI:1124312459
Name:FRAZIER-FUCHS, VICKI J (LMT)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:J
Last Name:FRAZIER-FUCHS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 RAPID RUN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4244
Mailing Address - Country:US
Mailing Address - Phone:513-922-0606
Mailing Address - Fax:
Practice Address - Street 1:5330 RAPID RUN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4244
Practice Address - Country:US
Practice Address - Phone:513-922-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.010512 E-G225700000X
OHC.1300313-CR101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional