Provider Demographics
NPI:1568645125
Name:TERRI L RAMAGE
Entity Type:Organization
Organization Name:TERRI L RAMAGE
Other - Org Name:NOT ALONE TO FITTING BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RAMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-898-1819
Mailing Address - Street 1:220 TYREE RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-9646
Mailing Address - Country:US
Mailing Address - Phone:270-898-1819
Mailing Address - Fax:270-898-6605
Practice Address - Street 1:220 TYREE RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-9646
Practice Address - Country:US
Practice Address - Phone:270-898-1819
Practice Address - Fax:270-898-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000340914OtherANTHEM
KY90008517Medicaid
KY4848660001Medicare NSC