Provider Demographics
NPI:1508078429
Name:CULBERTSON, ROBIN SCOTT (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:SCOTT
Last Name:CULBERTSON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3878 MOUNT VERNON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-6513
Mailing Address - Country:US
Mailing Address - Phone:330-848-0579
Mailing Address - Fax:
Practice Address - Street 1:555 BARBER RD
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-1765
Practice Address - Country:US
Practice Address - Phone:330-753-1084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT03682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer