Healthcare Provider Details

I. General information

NPI: 1053513523
Provider Name (Legal Business Name): KIM SYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 WHIPPLE AVE NW
NORTH CANTON OH
44720-7137
US

IV. Provider business mailing address

9855 HOCKING ST NW
MASSILLON OH
44646-9047
US

V. Phone/Fax

Practice location:
  • Phone: 330-498-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008558
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2406393-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: