Provider Demographics
NPI:1205912821
Name:IGOT, RUTH B (OTR)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:B
Last Name:IGOT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:B
Other - Last Name:IGOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:102 WESTLAND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-6522
Mailing Address - Country:US
Mailing Address - Phone:931-363-7548
Mailing Address - Fax:
Practice Address - Street 1:1245 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4541
Practice Address - Country:US
Practice Address - Phone:931-363-7548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0826225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist