Theresa Marie Daugherty
Individual provider Active NPI Attendant Care Provider · West Jefferson, OH
NPI 1417580374 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1417580374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 430 Forrestwood Ave
West Jefferson, OH 43162-9552 - Phone
- (614) 354-7270
- NPI assigned
- Feb 19, 2020
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
430 Forrestwood Ave
West Jefferson, OH 43162-9552
Mailing address
430 Forrestwood Ave
West Jefferson, OH 43162-9552
Other providers in West Jefferson, OH
- Blaine Paul Brockman
- Kevin Buell
- Kathleen Sue Busch
- Kellie J Butler
- Darby Family Practice, Inc
- Amber Duch
- Kristyn Nicole Elliott
- Enhancing Minds Mental Health Solutions LLC
- Enhancing Minds Mental Health Solutions LLC
- Extendicare
All providers in West Jefferson, OH · Attendant Care Provider in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. 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.