Healthcare Provider Details

I. General information

NPI: 1861634321
Provider Name (Legal Business Name): HOLLY MARIE CRICHLEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 OLENTANGY RIVER RD STE 100
COLUMBUS OH
43235-1353
US

IV. Provider business mailing address

7710 OLENTANGY RIVER RD STE 100
COLUMBUS OH
43235-1353
US

V. Phone/Fax

Practice location:
  • Phone: 614-841-3900
  • Fax:
Mailing address:
  • Phone: 614-841-3900
  • Fax: 614-545-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number008670
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: