Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Derthick

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1073312591

Jeffrey Derthick is a Developmentally Disabled Services Day Training Agency in Mantua, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

6470 Streeter Rd
Mantua, OH 44255-9729
Phone: (330) 221-1046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X (OH)

Record details

NPI number1073312591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2025
Last updated in NPPESMarch 8, 2025
Certification dateMarch 8, 2025
Mailing address6470 Streeter Rd, Mantua, OH 44255-9729