Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | PT018255 | OH |
Y | 213ES0000X | Sports Medicine | PT018255 | OH |
NPI | 1093342149 |
---|---|
Provider Name | Rachael Klimas |
First Address | Medina, OH 44256-1866 |
Second Address | Lodi, OH 44254-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2020 |
Last Update Date | 26/03/2020 |