Provider Demographics
NPI:1861064156
Name:PLANTS, TERI L
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:L
Last Name:PLANTS
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 1:57 JAY DR LOT 26
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1374
Mailing Address - Country:US
Mailing Address - Phone:740-446-6743
Mailing Address - Fax:
Practice Address - Street 1:57 JAY DR LOT 26
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1374
Practice Address - Country:US
Practice Address - Phone:740-446-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071971Medicaid