Provider Demographics
NPI:1891389417
Name:CIESINSKI, RUBY ALEXA (PT, DPT, ATC)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:ALEXA
Last Name:CIESINSKI
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 WEYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9510
Mailing Address - Country:US
Mailing Address - Phone:330-241-3224
Mailing Address - Fax:
Practice Address - Street 1:4931 NETTLETON RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5353
Practice Address - Country:US
Practice Address - Phone:330-721-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019098225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist