Healthcare Provider Details

I. General information

NPI: 1972136703
Provider Name (Legal Business Name): RYAN M FAUGHT LMBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1692 MERRIMAN RD
AKRON OH
44313-9002
US

IV. Provider business mailing address

1692 MERRIMAN RD
AKRON OH
44313-9002
US

V. Phone/Fax

Practice location:
  • Phone: 216-236-3438
  • Fax:
Mailing address:
  • Phone: 216-236-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number20514
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.013833
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: