Healthcare Provider Details

I. General information

NPI: 1609708460
Provider Name (Legal Business Name): JODY FIKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 3RD AVE
GALION OH
44833
US

IV. Provider business mailing address

9319 COUNTY ROAD 46
GALION OH
44833
US

V. Phone/Fax

Practice location:
  • Phone: 419-632-1545
  • Fax:
Mailing address:
  • Phone: 419-971-6954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: