Provider Demographics
NPI:1336757657
Name:RAMKO, DONNA DENISE
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:DENISE
Last Name:RAMKO
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 1:619 JAKE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BEECHGROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37018-3169
Mailing Address - Country:US
Mailing Address - Phone:615-289-2992
Mailing Address - Fax:
Practice Address - Street 1:835 UNION ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2607
Practice Address - Country:US
Practice Address - Phone:931-680-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0933225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant