Healthcare Provider Details

I. General information

NPI: 1467935254
Provider Name (Legal Business Name): CHAD STEPHEN RYGALSKI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2018
Last Update Date: 09/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 OLENTANGY RIVER RD
COLUMBUS OH
43026
US

IV. Provider business mailing address

2349 HIGHLANDTOWN DR
HILLIARD OH
43026
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-3810
  • Fax: 614-566-3895
Mailing address:
  • Phone: 614-205-9894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number008948
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: