Provider Demographics
NPI:1942754262
Name:LENGYEL, CHELSEA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:LENGYEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:MARIE
Other - Last Name:LESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8073 WASHINGTON VILLAGE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1847
Mailing Address - Country:US
Mailing Address - Phone:937-813-8052
Mailing Address - Fax:937-813-8056
Practice Address - Street 1:813 BOARDMAN POLAND RD
Practice Address - Street 2:SUITE 12B
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5129
Practice Address - Country:US
Practice Address - Phone:330-729-9448
Practice Address - Fax:330-729-9450
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016547225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist