Healthcare Provider Details

I. General information

NPI: 1437238383
Provider Name (Legal Business Name): MICHAEL KEVIN HUTH P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CONSERVATORY DR STE A
BARBERTON OH
44203-4275
US

IV. Provider business mailing address

155 5TH ST NE
BARBERTON OH
44203-3332
US

V. Phone/Fax

Practice location:
  • Phone: 330-615-5000
  • Fax: 330-848-3982
Mailing address:
  • Phone: 330-615-5000
  • Fax: 330-848-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-03193
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: