Provider Demographics
NPI:1881046670
Name:RIPPETOE, BARBARA (PT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:RIPPETOE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN MOUND
Mailing Address - State:TN
Mailing Address - Zip Code:37079-9432
Mailing Address - Country:US
Mailing Address - Phone:931-215-6578
Mailing Address - Fax:931-551-3747
Practice Address - Street 1:4760 WATSON RD
Practice Address - Street 2:
Practice Address - City:INDIAN MOUND
Practice Address - State:TN
Practice Address - Zip Code:37079-9432
Practice Address - Country:US
Practice Address - Phone:931-215-6578
Practice Address - Fax:931-551-3747
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT4770171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor