Provider Demographics
NPI:1689603086
Name:RATLIFF, DANA LOREN (LAT/ATC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LOREN
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:LAT/ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17779 BROWNSFERRY RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-6117
Mailing Address - Country:US
Mailing Address - Phone:256-777-9859
Mailing Address - Fax:
Practice Address - Street 1:209 FITNESS WAY
Practice Address - Street 2:SUITE D
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2405
Practice Address - Country:US
Practice Address - Phone:256-233-9149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer