Provider Demographics
NPI:1639910805
Name:HLUCH, CONNER (DPT)
Entity type:Individual
Prefix:
First Name:CONNER
Middle Name:
Last Name:HLUCH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 PARKLANE ST NW APT C
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2027
Mailing Address - Country:US
Mailing Address - Phone:330-257-5041
Mailing Address - Fax:
Practice Address - Street 1:2660 W MARKET ST STE 300
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4209
Practice Address - Country:US
Practice Address - Phone:330-869-2635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports