Healthcare Provider Details

I. General information

NPI: 1790613255
Provider Name (Legal Business Name): PAUL T DUESLER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 LEAR RD
AVON LAKE OH
44012-2096
US

IV. Provider business mailing address

345 LEAR RD
AVON LAKE OH
44012-2096
US

V. Phone/Fax

Practice location:
  • Phone: 740-953-1184
  • Fax:
Mailing address:
  • Phone: 740-953-1184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number020187
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: