Provider Demographics
NPI:1548627227
Name:GESSEL, CHYRSTEN LEANN (ATC)
Entity type:Individual
Prefix:MRS
First Name:CHYRSTEN
Middle Name:LEANN
Last Name:GESSEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:CHYRSTEN
Other - Middle Name:LEANN
Other - Last Name:REGELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:215 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-4033
Mailing Address - Country:US
Mailing Address - Phone:740-376-4788
Mailing Address - Fax:740-376-4405
Practice Address - Street 1:215 5TH ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-4033
Practice Address - Country:US
Practice Address - Phone:740-376-4788
Practice Address - Fax:740-376-4405
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2019-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
OH0047022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner