Individual provider · Type 1 NPI
Lori McNickle, CPED, RFOM
Pedorthist · Canton, OH
NPI number
1861733396
Active
Practice location
4663 Whipple Ave NW
Canton, OH 44718-2615
Fax (330) 493-5759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | LPED32 (OH) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
2 other providers at this address
About NPI 1861733396
Lori McNickle, CPED, RFOM's National Provider Identifier is 1861733396, issued on Mar 7, 2013. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Canton, OH. The record was last updated on Mar 7, 2013.