Provider Demographics
NPI:1225285281
Name:RITCHIE, VALERIE A (PTA)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 W STINSON RD
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37186-2764
Mailing Address - Country:US
Mailing Address - Phone:615-644-4602
Mailing Address - Fax:
Practice Address - Street 1:435 W STINSON RD
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:TN
Practice Address - Zip Code:37186-2764
Practice Address - Country:US
Practice Address - Phone:615-644-4602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA02363225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYA02363Medicare UPIN