Healthcare Provider Details

I. General information

NPI: 1023935046
Provider Name (Legal Business Name): ROSS HEALTH & FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 RENEAU AVE
GALLOWAY OH
43119-9025
US

IV. Provider business mailing address

159 RENEAU AVE
GALLOWAY OH
43119-9025
US

V. Phone/Fax

Practice location:
  • Phone: 380-233-1147
  • Fax:
Mailing address:
  • Phone: 614-421-7540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHARMAY M ROSS
Title or Position: THERAPIST
Credential: LSW
Phone: 380-233-1147