Provider Demographics
NPI:1053456798
Name:FRENCH, RONNIE DALE (OT, CHT)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:DALE
Last Name:FRENCH
Suffix:
Gender:M
Credentials:OT, CHT
Other - Prefix:MR
Other - First Name:RON
Other - Middle Name:FRENCH
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT, CHT
Mailing Address - Street 1:849 VOLUNTEER DR
Mailing Address - Street 2:STE 8
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5475
Mailing Address - Country:US
Mailing Address - Phone:731-642-0778
Mailing Address - Fax:731-642-6488
Practice Address - Street 1:849 VOLUNTEER DR
Practice Address - Street 2:STE 8
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5475
Practice Address - Country:US
Practice Address - Phone:731-642-0778
Practice Address - Fax:731-642-6488
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT1371225XP0019X, 225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4170934OtherBLUECROSS BLUESHIELD OF TN
TN3535539OtherCIGNA
TN3656235Medicaid
TN3656235Medicaid