Healthcare Provider Details

I. General information

NPI: 1841069085
Provider Name (Legal Business Name): NEXT LEVEL PELVIC HEALTH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2023
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15620 DETROIT AVE STE 101
LAKEWOOD OH
44107-3708
US

IV. Provider business mailing address

13731 OLDE ORCHARD RD
STRONGSVILLE OH
44136-8322
US

V. Phone/Fax

Practice location:
  • Phone: 440-666-0730
  • Fax:
Mailing address:
  • Phone: 440-666-0730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA A LOVELESS
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 440-666-0730