Provider Demographics
NPI:1083334114
Name:RAMIREZ, ALANNA (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:ALANNA
Other - Middle Name:
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:104 N GUYER ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-4024
Mailing Address - Country:US
Mailing Address - Phone:219-299-1193
Mailing Address - Fax:
Practice Address - Street 1:12800 MISSISSIPPI PKWY
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-6900
Practice Address - Country:US
Practice Address - Phone:219-299-1193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36003419A2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine