Provider Demographics
NPI:1477160695
Name:GALBRAITH, TAIT
Entity Type:Individual
Prefix:
First Name:TAIT
Middle Name:
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 GALE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1408
Mailing Address - Country:US
Mailing Address - Phone:330-714-5976
Mailing Address - Fax:
Practice Address - Street 1:8107 PETTIBONE RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5001
Practice Address - Country:US
Practice Address - Phone:216-287-9579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle