Provider Demographics
NPI:1922004563
Name:RATKOWSKI, CYNTHIA ANN (DC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:RATKOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3454 OAK ALLEY CT
Mailing Address - Street 2:STE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1354
Mailing Address - Country:US
Mailing Address - Phone:419-535-9600
Mailing Address - Fax:
Practice Address - Street 1:3425 EXECUTIVE PKWY
Practice Address - Street 2:STE 120
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1333
Practice Address - Country:US
Practice Address - Phone:419-535-9600
Practice Address - Fax:419-535-3891
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH358549244005OtherMEDICAL MUTUAL
OH350018300OtherRAILROAD MEDICARE
OH4534135OtherAETNA
OH0720741Medicaid
OH01538 0005OtherPARAMOUNT
OH000000136442OtherBLUECROSSBLUESHIELD