MEDICARE: SHARONDA P NASH

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	5502000903	MI

General Provider Information

NPI Number	:	1871441964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARONDA P NASH

Provider Business Mailing Address
First Line	:	4215 FAIRVIEW DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1832
Country	:	US
Telephone Number	:	567-330-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	4215 FAIRVIEW DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1832
Country	:	US
Telephone Number	:	567-330-7370
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ SHARONDA P NASH ” Practice Location

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