Provider Demographics
NPI:1467245449
Name:METZGER, ROBERT M (LMT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:METZGER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-6900
Mailing Address - Country:US
Mailing Address - Phone:740-965-4301
Mailing Address - Fax:740-965-4301
Practice Address - Street 1:123 STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-6900
Practice Address - Country:US
Practice Address - Phone:740-965-4301
Practice Address - Fax:740-965-4301
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH32.022385225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist