Provider Demographics
NPI:1164755856
Name:MCELHANEY, RONALD (ATC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:MCELHANEY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 N BOSTWICK ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-1409
Mailing Address - Country:US
Mailing Address - Phone:517-588-9353
Mailing Address - Fax:
Practice Address - Street 1:251 MILLS ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-2434
Practice Address - Country:US
Practice Address - Phone:269-388-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer