Healthcare Provider Details

I. General information

NPI: 1568253037
Provider Name (Legal Business Name): BARROWFIT EXERCISE THERAPY AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9867 PONDERA ST NW
MASSILLON OH
44646-9384
US

IV. Provider business mailing address

9867 PONDERA ST NW
MASSILLON OH
44646-9384
US

V. Phone/Fax

Practice location:
  • Phone: 330-495-3609
  • Fax:
Mailing address:
  • Phone: 330-495-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TINA HOCKENSMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-495-3609