IndividualActive
Michael Lopez, PTA
NPI 1326290958 · Specialist · Elida, OH
Provider details
- NPI number
- 1326290958
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA.07095 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
116 Orchard Dr
Elida, OH 45807-1081
Phone: (937) 399-9217
Approximate (ZIP-level) locationGet directions
Mailing address
116 Orchard Dr
Elida, OH 45807-1081
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.