Provider Demographics
NPI:1538929856
Name:MESSER, TORI ALEXIS
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:ALEXIS
Last Name:MESSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 22ND ST SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-7422
Mailing Address - Country:US
Mailing Address - Phone:386-916-4848
Mailing Address - Fax:
Practice Address - Street 1:1000 22ND ST SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-7422
Practice Address - Country:US
Practice Address - Phone:386-916-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant