Healthcare Provider Details

I. General information

NPI: 1093632853
Provider Name (Legal Business Name): BOBBY ESLICK III MS, LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 MCCRACKEN RD
GARFIELD HEIGHTS OH
44125-2914
US

IV. Provider business mailing address

2062 SAND RUN KNOLLS DR
AKRON OH
44313-8003
US

V. Phone/Fax

Practice location:
  • Phone: 216-581-0500
  • Fax:
Mailing address:
  • Phone: 330-814-4987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT007392
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: