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Kevin M Spicer, LP,COA
Prosthetist in Bolivar, Ohio
NPI 1376007849

Kevin M Spicer is a Prosthetist based in Bolivar, OH. Kevin M Spicer practices in Bolivar, OH and has the professional credentials of LP,COA. The NPI Number for Kevin M Spicer is 1376007849 and holds a License No. COA00304 (Ohio).

The current practice location address for Kevin M Spicer is 1830 Ridge Rd Nw, Bolivar, OH and can be reached out via phone at 330-595-1010 and via fax at 330-595-1051.

Location: 1830 Ridge Rd Nw, Bolivar, OH, 44612-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376007849
Provider Name
Kevin M Spicer
Credential
LP,COA
Provider Entity Type
Individual
Gender
Male
Address
1830 Ridge Rd Nw, Bolivar, OH, 44612-8512
Phone Number
330-595-1010
Fax Number
330-595-1051
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1830 Ridge Rd Nw
City
Bolivar
State
Ohio
Zip
44612-8512
Phone Number
330-595-1010
Fax Number
330-595-1051
person
Provider Business Mailing Address Details
Address
1830 Ridge Rd Nw
City
Bolivar
State
Ohio
Zip
44612-8512
Phone Number
330-595-1010
Fax Number
330-595-1051
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
LP.00116 (Ohio)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
COA00304 ()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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