Healthcare Provider Details

I. General information

NPI: 1760323612
Provider Name (Legal Business Name): RUTH H OHLROGGE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 TOMKPINS DRIVE
MADISON WI
53716
US

IV. Provider business mailing address

3501 LERDAHL RD
MADISON WI
53704-1500
US

V. Phone/Fax

Practice location:
  • Phone: 608-204-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: