Healthcare Provider Details

I. General information

NPI: 1376407775
Provider Name (Legal Business Name): 4 PAWS FOR ABILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 DAYTON AVE
XENIA OH
45385-2831
US

IV. Provider business mailing address

207 DAYTON AVE
XENIA OH
45385-2831
US

V. Phone/Fax

Practice location:
  • Phone: 937-374-0385
  • Fax: 937-376-2720
Mailing address:
  • Phone: 937-374-0385
  • Fax: 937-376-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KAITLYN MICHELE JONES
Title or Position: CLIENT SERVICES COORDINATOR
Credential: CSC
Phone: 937-374-0385