Provider Demographics
NPI:1134635303
Name:RANJEL, CHELSEA LEANN (MHA, AT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LEANN
Last Name:RANJEL
Suffix:
Gender:F
Credentials:MHA, AT, ATC
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:LEANN
Other - Last Name:READ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23581 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-9228
Mailing Address - Country:US
Mailing Address - Phone:517-285-0634
Mailing Address - Fax:
Practice Address - Street 1:705 OAK ST UNIT 11
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-3108
Practice Address - Country:US
Practice Address - Phone:231-305-3375
Practice Address - Fax:231-305-3093
Is Sole Proprietor?:No
Enumeration Date:2017-12-23
Last Update Date:2017-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010008682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer