Provider Demographics
NPI:1104243344
Name:HOOVER, JUDY L (LMT)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:L
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5195 MAYFIELD RD SUITE 10
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-720-1810
Mailing Address - Fax:440-720-1814
Practice Address - Street 1:611 W. MARKET STREET SUITE A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303
Practice Address - Country:US
Practice Address - Phone:330-253-0400
Practice Address - Fax:330-253-0402
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH33.0139042255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer