Provider Demographics
NPI:1225902190
Name:TREADWAY, ALICIA DAWN
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:DAWN
Last Name:TREADWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38721 STATE ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:SARDIS
Mailing Address - State:OH
Mailing Address - Zip Code:43946-9675
Mailing Address - Country:US
Mailing Address - Phone:740-629-3228
Mailing Address - Fax:
Practice Address - Street 1:38721 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:SARDIS
Practice Address - State:OH
Practice Address - Zip Code:43946-9675
Practice Address - Country:US
Practice Address - Phone:740-629-3228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant