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NPI Code Detail

MEDICARE: TERRI LEE CRADLEBAUGH

MEDICARE:   TERRI LEE CRADLEBAUGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistAPS.007181OH

General Provider Information

NPI Number : 1013867530
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LEE CRADLEBAUGH
Provider Business Mailing Address
First Line : 1646 REDWOOD AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-2750
Country : US
Telephone Number : 330-962-9937
Fax Number :
Provider Business Practice Location Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 330-644-4095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ TERRI LEE CRADLEBAUGH ” Practice Location

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