Provider Demographics
NPI:1235763475
Name:MACONACHY, CHELSIE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:
Last Name:MACONACHY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1914
Mailing Address - Fax:630-928-5014
Practice Address - Street 1:7344 FODOR RD STE 4
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8336
Practice Address - Country:US
Practice Address - Phone:614-855-2570
Practice Address - Fax:614-855-2580
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
OH225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist