Traci Sue Range, PTA
Individual provider Active NPI Personal Care Attendant · Olmsted Falls, OH
NPI 1154036085 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1154036085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9769 Grist Mill Run
Olmsted Falls, OH 44138-2892 - Phone
- (440) 263-8642
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
9769 Grist Mill Run
Olmsted Falls, OH 44138-2892
Mailing address
9769 Grist Mill Run
Olmsted Falls, OH 44138-2892
Phone (440) 263-8642
Other providers in Olmsted Falls, OH
- Jeanine A Peters
- Stella Pietka
- Allison Gareau Poore
- PPC-DDM LLC
- Brian P Radulovich
- Deborah A Rapchak
- Diane Marie Reese
- Carolyn Sue Rodecker
- Lidia Russo
- James Charles Schneider
All providers in Olmsted Falls, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.