Provider Demographics
NPI:1013541929
Name:DOWDELL, TAYLIAH T
Entity type:Individual
Prefix:
First Name:TAYLIAH
Middle Name:T
Last Name:DOWDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 W WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1508
Mailing Address - Country:US
Mailing Address - Phone:330-592-8068
Mailing Address - Fax:
Practice Address - Street 1:1199 BIG FALLS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1133
Practice Address - Country:US
Practice Address - Phone:330-592-8068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-29
Last Update Date:2025-02-10
Deactivation Date:2025-01-25
Deactivation Code:
Reactivation Date:2025-02-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant