MEDICARE: TISHA LORRAINE COTEREL

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1528838059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TISHA LORRAINE COTEREL

Provider Business Mailing Address
First Line	:	5276 STRAIGHT CREEK RD
Second Line	:
City	:	WAVERLY
State	:	OH
Zip	:	45690-9781
Country	:	US
Telephone Number	:	740-947-3419
Fax Number	:

Provider Business Practice Location Address
First Line	:	5276 STRAIGHT CREEK RD
Second Line	:
City	:	WAVERLY
State	:	OH
Zip	:	45690-9781
Country	:	US
Telephone Number	:	740-947-3419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2024
Last Update Date	:	01/05/2024

Similar Medicare Providers

1295735892 — DR. STACY DAVIS MOORMAN DDS
Practice Location Address:

14062 US HIGHWAY 23 , SUITE B
WAVERLY, OH
45690-9415

Practice Phone: 740-947-1990
Practice Fax:

1740265081 — DR. DANIEL K MADSEN D.O.
Practice Location Address:

13800 US RT 23 N
WAVERLY, OH
45690

Practice Phone: 740-947-8602
Practice Fax: 740-947-7943

1558346726 — MARK MARQUEZ R.PH.
Practice Location Address:

100 DAWN LN
WAVERLY, OH
45690-9138

Practice Phone: 740-947-6377
Practice Fax:

1528047461 — LISA K. FROST DDS, LLC
Practice Location Address:

100 E 3RD ST
WAVERLY, OH
45690-1401

Practice Phone: 740-947-8200
Practice Fax: 740-947-8210

1265406151 — MOHAMMAD T. ALI M.D.
Practice Location Address:

227 VALLEY VIEW DR
WAVERLY, OH
45690-9135

Practice Phone: 740-947-7726
Practice Fax: 740-947-9354

1093780462 — MRS. DONA HAUNANI SANDERS CNM
Practice Location Address:

227 VALLEY VIEW DR
WAVERLY, OH
45690-9135

Practice Phone: 740-947-7726
Practice Fax: 740-947-9354

Directions to “ TISHA LORRAINE COTEREL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.