Provider Demographics
NPI:1376883306
Name:RATTIGAN, JODY
Entity Type:Individual
Prefix:MS
First Name:JODY
Middle Name:
Last Name:RATTIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-2210
Mailing Address - Country:US
Mailing Address - Phone:413-512-0102
Mailing Address - Fax:
Practice Address - Street 1:41 COOLIDGE AVE
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-2210
Practice Address - Country:US
Practice Address - Phone:413-512-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care