Provider Demographics
NPI:1639980998
Name:RUHL, ALISHA NICOLE (AT, ATC)
Entity type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:NICOLE
Last Name:RUHL
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:NICOLE
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AT, ATC
Mailing Address - Street 1:651 W MARION RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-1096
Mailing Address - Country:US
Mailing Address - Phone:419-560-5028
Mailing Address - Fax:419-949-3116
Practice Address - Street 1:7819 STATE ROUTE 19
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-9654
Practice Address - Country:US
Practice Address - Phone:419-560-5028
Practice Address - Fax:419-946-5098
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0053722255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer