Provider Demographics
NPI:1336354422
Name:RITTER, RICK (PT)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:RITTER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2133
Mailing Address - Country:US
Mailing Address - Phone:931-773-0007
Mailing Address - Fax:931-773-0008
Practice Address - Street 1:313 COLLERADO BLVD.
Practice Address - Street 2:STE. 2
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160
Practice Address - Country:US
Practice Address - Phone:931-773-0007
Practice Address - Fax:931-773-0008
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist