NPI 1376007849

Kevin M Spicer, LPCPCOA

Practitioner Prosthetist Bolivar, OH

Practice location

Address: 11237 Fairoaks Rd NE STE B, Bolivar, OH 44612-8767
Phone: (330) 595-1010
Fax: (330) 595-1051
Mailing address: 11736 Strasburg Bolivar Rd NW APT 1, Bolivar, OH 44612-8471

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence LP.00116 (OH)

Other Prosthetist providers in Ohio →

Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence COA00304

Other Orthotic Fitter providers in Ohio →

Registry record

NPI: 1376007849
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2019
Record last updated: 16 Feb 2026

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.