Individual provider · Type 1 NPI

Kevin M. Spicer, LP, CP, COA

Prosthetist · Bolivar, OH

NPI number 1376007849 Active

Practice location

11237 Fairoaks Rd NE Ste B
Bolivar, OH 44612-8767

Fax (330) 595-1051

Mailing address

11736 Strasburg Bolivar Rd NW Apt 1
Bolivar, OH 44612-8471

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XLP.00116 (OH)
Orthotic Fitter 225000000XCOA00304

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Another provider at this address

About NPI 1376007849

Kevin M. Spicer, LP, CP, COA's National Provider Identifier is 1376007849, issued on Jan 29, 2019. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Bolivar, OH. The record was last updated on Feb 16, 2026.