Provider Demographics
NPI:1952506800
Name:SLINGLUFF, TERRY MICHAEL
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:MICHAEL
Last Name:SLINGLUFF
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 1:5850 FULTON DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-1751
Mailing Address - Country:US
Mailing Address - Phone:330-494-8641
Mailing Address - Fax:330-494-0139
Practice Address - Street 1:5850 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1751
Practice Address - Country:US
Practice Address - Phone:330-494-8641
Practice Address - Fax:330-494-0139
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.014668172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist