Provider Demographics
NPI:1083804736
Name:ALESNIK, TIMOTHY LOUIS (PT)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:LOUIS
Last Name:ALESNIK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 HEISLEY RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1836
Mailing Address - Country:US
Mailing Address - Phone:440-357-6677
Mailing Address - Fax:440-357-6681
Practice Address - Street 1:9945 VAIL DR
Practice Address - Street 2:SUITE 4
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4900
Practice Address - Country:US
Practice Address - Phone:330-405-3343
Practice Address - Fax:330-487-1093
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT007828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist