Provider Demographics
NPI:1659740025
Name:RITCHEY, ROWAN (MS, AT, ATC)
Entity Type:Individual
Prefix:
First Name:ROWAN
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:MS, AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 STATE HIGHWAY 294
Mailing Address - Street 2:
Mailing Address - City:HARPSTER
Mailing Address - State:OH
Mailing Address - Zip Code:43323-9381
Mailing Address - Country:US
Mailing Address - Phone:419-310-8678
Mailing Address - Fax:
Practice Address - Street 1:885 N SANDUSKY AVE
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-1098
Practice Address - Country:US
Practice Address - Phone:419-294-4991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program