MEDICARE: KELSEY ANN PUMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA013528	OH

General Provider Information

NPI Number	:	1316828825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY ANN PUMA

Provider Business Mailing Address
First Line	:	644 LYNNVIEW ST SW
Second Line	:
City	:	HARTVILLE
State	:	OH
Zip	:	44632-8784
Country	:	US
Telephone Number	:	754-971-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 E MAPLE ST
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2634
Country	:	US
Telephone Number	:	330-499-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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Directions to “ KELSEY ANN PUMA ” Practice Location

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