Individual
DR. TRICIA A BULTEMEYER-RIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1015 S 11TH ST, DECATUR, IN 46733-2164
(260) 728-4194
(260) 728-4195
Mailing address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002260A
IN
111N00000X
Chiropractor
3699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200811680
—
IN
01
—
221280
PTAN
IN
05
—
2656308
—
OH
01
—
9312811
PTAN
OH
Enumeration date
06/18/2006
Last updated
12/03/2010
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