| Northcoast Rehab | |
|
11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 | |
| (216) 721-9010 | |
| Not Available |
| Full Name | Northcoast Rehab |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11201 Shaker Blvd Ste 322, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780928721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3903 (Ohio) | Primary |
| Provider Name | Melissa A Kennard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679596704 PECOS PAC ID: 1355443649 Enrollment ID: I20070216000012 |
| Provider Name | Alexis Frantzis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447410345 PECOS PAC ID: 4587898473 Enrollment ID: I20131009001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Northcoast Rehab 11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 Ph: (216) 721-9010 | Northcoast Rehab 11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 Ph: (216) 721-9010 |
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