NPI 1003173881
Tamara L Ickes, LPTA
Practice location
- Address
- 339 E Maple St, North Canton, OH 44720-2593
- Phone
- (330) 498-8200
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003173881
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Apr 2012
- Record last updated
- 18 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.