Provider Demographics
NPI:1700138740
Name:ROBINSON, DOUGLAS ANDREW (M ED, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ANDREW
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:M ED, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 MALDEN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7759
Mailing Address - Country:US
Mailing Address - Phone:330-208-0361
Mailing Address - Fax:
Practice Address - Street 1:2660 W MARKET ST STE 300
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4209
Practice Address - Country:US
Practice Address - Phone:330-869-2635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-14
Last Update Date:2012-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0021812255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer