Provider Demographics
NPI:1053108993
Name:ISAACS, TONYA SUE
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:SUE
Last Name:ISAACS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4991 GRIMM DR
Mailing Address - Street 2:
Mailing Address - City:LOCKBOURNE
Mailing Address - State:OH
Mailing Address - Zip Code:43137-8503
Mailing Address - Country:US
Mailing Address - Phone:606-939-0170
Mailing Address - Fax:
Practice Address - Street 1:4991 GRIMM DR
Practice Address - Street 2:
Practice Address - City:LOCKBOURNE
Practice Address - State:OH
Practice Address - Zip Code:43137-8503
Practice Address - Country:US
Practice Address - Phone:606-939-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide