Healthcare Provider Details

I. General information

NPI: 1588586812
Provider Name (Legal Business Name): KARLY TOMAYKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 HIGBY DR
STOW OH
44224-1444
US

IV. Provider business mailing address

2028 HIGBY DR
STOW OH
44224-1444
US

V. Phone/Fax

Practice location:
  • Phone: 330-620-5053
  • Fax:
Mailing address:
  • Phone: 330-620-5053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License NumberRN.395542
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: