Healthcare Provider Details

I. General information

NPI: 1417864463
Provider Name (Legal Business Name): ELISHA PLESICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 LAURETTA DR
STEUBENVILLE OH
43952-3575
US

IV. Provider business mailing address

609 LAURETTA DR
STEUBENVILLE OH
43952-3575
US

V. Phone/Fax

Practice location:
  • Phone: 740-424-3963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA001599
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA007556
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: