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KELLY A. FRYER-TISEVICH P.T.
NPI 1902834807
Specialist in Canton, OH

Active since June 29, 2006
4650 HILLS AND DALES RD NW, SUITE 100, CANTON, OH 44708(330) 477-9720 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A. Fryer-tisevich P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A. FRYER-TISEVICH P.T. (NPI 1902834807) is an individual specialist in Canton, Ohio, licensed in Ohio (PT10607) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1902834807
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY A. FRYER-TISEVICHCredential: P.T.
Location Address4650 HILLS AND DALES RD NW, SUITE 100Canton, OH 44708-6220
Mailing Address4650 Hills And Dales Rd Nw, Suite 100Canton, OH 44708-6220 · (330) 477-9720
Phone(330) 477-9720
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 24, 2007
✔ NPI 1902834807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · PT10607
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4650 HILLS AND DALES RD NW, Canton, OH 44708
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Other Identifiers 1

OtherPT - 10607OH · Pt License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETSY D EKEY PA-C
Physician Assistant (Medical)
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
CHRISTOPHER MICHAEL PERRY PT
Physical Therapist
4650 HILLS AND DALES RD NW, SUITE 100
CANTON, OH 44708
Stark County (330) 477-9720
DR. RACHID SOULEYE DO
Preventive Medicine (Occupational Medicine)
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
MS. LAURA R. PIERCE CNP
Nurse Practitioner (Primary Care)
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
MRS. MORGAN RAE CASTO PT
Physical Therapist
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
DR. JANICE LYNN BREMEN D.O.
Family Medicine
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
ERIC WILLIAMS
Physical Therapy Assistant
4650 HILLS AND DALES RD NW
CANTON, OH 44708
Stark County (330) 491-9675
DARRYL ARTHUR HANCOCK PT
Specialist
4650 HILLS AND DALES RD NW, SUITE 100
CANTON, OH 44708
Stark County (330) 477-9720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Fryer-tisevich's NPI number?

The NPI number for Kelly Fryer-tisevich is 1902834807. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Kelly Fryer-tisevich located?

Kelly Fryer-tisevich practices at 4650 Hills And Dales Rd NW Suite 100, Canton, OH 44708. The listed phone number is (330) 477-9720.

What is Kelly Fryer-tisevich's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Fryer-tisevich was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.