Provider Demographics
NPI:1467608018
Name:RAGSDALE, JANIS D
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:D
Last Name:RAGSDALE
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 1:9430 PARK WEST BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4200
Mailing Address - Country:US
Mailing Address - Phone:865-693-6065
Mailing Address - Fax:865-531-6325
Practice Address - Street 1:9430 PARK WEST BLVD
Practice Address - Street 2:SUITE 330
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4200
Practice Address - Country:US
Practice Address - Phone:865-693-6065
Practice Address - Fax:865-531-6325
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1348231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist