Individual
ADAM WACKERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 CHEYENNE TRL, MALVERN, OH 44644-9525
(330) 771-7515
(330) 771-7515
Mailing address
155 CHEYENNE TRL, MALVERN, OH 44644-9525
(330) 771-7515
(330) 771-7515
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP.15522
OH
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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