Provider Demographics
NPI:1235584756
Name:RUIZ, CHELSEA (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:791 WATERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6909
Mailing Address - Country:US
Mailing Address - Phone:614-721-9130
Mailing Address - Fax:
Practice Address - Street 1:791 WATERBROOK LN
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6909
Practice Address - Country:US
Practice Address - Phone:614-721-9130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty