Provider Demographics
NPI:1336621788
Name:GRASHEL, INDIA (OTD)
Entity Type:Individual
Prefix:MRS
First Name:INDIA
Middle Name:
Last Name:GRASHEL
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:INDIA
Other - Middle Name:
Other - Last Name:HINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:927-A SOUTH STREET
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062
Practice Address - Country:US
Practice Address - Phone:740-927-3941
Practice Address - Fax:614-355-7580
Is Sole Proprietor?:No
Enumeration Date:2018-09-02
Last Update Date:2022-09-13
Deactivation Date:2022-08-22
Deactivation Code:
Reactivation Date:2022-09-12
Provider Licenses
StateLicense IDTaxonomies
OH000604881225X00000X
OH106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1473276Medicaid