| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376608117 | BREWSTER | BETTY | 102 DAWN LN | WAVERLY | OH | 456909695 | ||
| 1538664560 | KINNAMON | COURTNEY | PAIGE | 102 DAWN LN | WAVERLY | OH | 456909695 | |
| 1467400903 | LATELLA | BETH | NALL | 102 DAWN LN | WAVERLY | OH | 456909695 |