Provider Demographics
NPI:1134647381
Name:RYGH, KELSEY A (MA)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:A
Last Name:RYGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60952
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80960-0952
Mailing Address - Country:US
Mailing Address - Phone:970-381-4983
Mailing Address - Fax:
Practice Address - Street 1:634 JOHANNE PL APT B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-6453
Practice Address - Country:US
Practice Address - Phone:970-381-4983
Practice Address - Fax:970-381-4983
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO226616235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist