Individual ProviderMichelle KovalPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3950 Red Bank Rd, Cincinnati, OH 45227-3429(513) 246-8840(608) 662-0817PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Koval does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1902232150Provider TypeIndividualFull NameKoval, MichelleGenderFemaleSole ProprietorYesEnumeration Date9/19/2013Last Updated2/19/2020Contact InformationPractice LocationPractice Address3950 Red Bank Rd, Cincinnati, OH 45227-3429Phone(513) 246-8840Fax(513) 246-8841Mailing LocationMailing Address600 Highland Ave, Mc 2433, Madison, WI 53792-1530Phone(608) 662-0817Fax(608) 203-4544Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT012735OhioCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12454-24Wisconsin