Provider Demographics
NPI:1346055852
Name:TERRELL, TASHA CIERRA (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:CIERRA
Last Name:TERRELL
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 E LODS ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1110
Mailing Address - Country:US
Mailing Address - Phone:330-689-8125
Mailing Address - Fax:
Practice Address - Street 1:595 HOLLIBAUGH AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310
Practice Address - Country:US
Practice Address - Phone:330-689-8125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No177F00000XOther Service ProvidersLodging
No372500000XNursing Service Related ProvidersChore Provider