Provider Demographics
NPI:1740362581
Name:TASSI, PHILIP JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JOHN
Last Name:TASSI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WEST TUSCARAWAS ST
Mailing Address - Street 2:1ST FL
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-5639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3410 WEST TUSCARAWAS ST
Practice Address - Street 2:1ST FL
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-5639
Practice Address - Country:US
Practice Address - Phone:330-454-0400
Practice Address - Fax:330-454-0698
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor