Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlea Shay Revennaugh, CMS

Individual provider Rehabilitation Practitioner · NPI 1104397835

Charlea Shay Revennaugh, CMS is a Rehabilitation Practitioner in Circleville, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

110 Highland Ave
Circleville, OH 43113-1208
Phone: (740) 477-1745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (OH)

Record details

NPI number1104397835
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMS
Sole proprietorNo
NPI enumeratedDecember 6, 2018
Last updated in NPPESDecember 6, 2018

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