Individual
JENNIFER A THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3333 MASSILLON RD STE 102, AKRON, OH 44312-5982
(330) 896-3036
(330) 896-0464
Mailing address
3226 KENT RD, STOW, OH 44224-4429
(330) 929-3331
(330) 929-5408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002095
OH
Other
Enumeration date
04/20/2006
Last updated
05/05/2016
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