Provider Demographics
NPI:1326746132
Name:NOVAK, ERIKA-KATE GERLDEAN (LMT)
Entity Type:Individual
Prefix:
First Name:ERIKA-KATE
Middle Name:GERLDEAN
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6167 MARATHON EDENTON RD
Mailing Address - Street 2:
Mailing Address - City:BLANCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45107-8834
Mailing Address - Country:US
Mailing Address - Phone:513-652-1156
Mailing Address - Fax:
Practice Address - Street 1:TRIHEALTH FITNESS & HEALTH PAVILION
Practice Address - Street 2:6200 PFIEFFER RD
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-855-0945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.024999225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist