Individual
MRS. ALIX VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4300 ALLEN RD, STOW, OH 44224-1032
(330) 945-3150
Mailing address
4300 ALLEN RD, STOW, OH 44224-1032
(330) 945-3150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017530
OH
225100000X
Physical Therapist
11-03668
KS
225100000X
Physical Therapist
2305205892
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200420260A
—
KS
Enumeration date
02/13/2007
Last updated
02/18/2026
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