Healthcare Provider Details

I. General information

NPI: 1013849116
Provider Name (Legal Business Name): MISTY ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 STATE ROUTE 60
KILLBUCK OH
44637-9746
US

IV. Provider business mailing address

3575 STATE ROUTE 60
KILLBUCK OH
44637-9746
US

V. Phone/Fax

Practice location:
  • Phone: 330-401-1606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: