Healthcare Provider Details

I. General information

NPI: 1891722823
Provider Name (Legal Business Name): KARA JEAN PRITCHARD ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST
AKRON OH
44310-3110
US

IV. Provider business mailing address

453 SPRINGBROOK DR APT 104
MEDINA OH
44256-3632
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-5959
  • Fax: 330-379-5902
Mailing address:
  • Phone: 513-446-0996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT 003498
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: