Provider Demographics
NPI:1043932684
Name:JANOWICZ, LOUIS GREGORY (MAT, ATC, AT)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:GREGORY
Last Name:JANOWICZ
Suffix:
Gender:M
Credentials:MAT, ATC, AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 BACHTEL ST SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3138
Mailing Address - Country:US
Mailing Address - Phone:330-265-9287
Mailing Address - Fax:
Practice Address - Street 1:1 PAUL E BROWN DR SE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7100
Practice Address - Country:US
Practice Address - Phone:330-830-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0070532255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer