Ettumanoor Railway Station and Industrial Estate is really located in Athirampuzha. Ettumanoor, Kumaranalloor, Arpookara, Kudamaloor, Mudiyoorkara, Aymanam, Kumarakom, Kaipuzha, Neendoor, Onamthuruth, Kurumulloor, Kanakkary, Pattithanam are the neighbouring places of Athirampuzha. Government Medical College, Kottayam, Caritas Hospital, Matha Hospital in Thellakom are situated very near to Athirampuzha. Athirampuzha is having many post offices like Amalagiri, Priyadarshini Hills, Sreekandamangalam, Kottackupuram etc.

Athirampuzha was once a major inland waterway terminal town. Freight boats from Alappuzha called at Athirampuzha. From Athirampuzha bullock carts transported the goods to Pala and beyond. Passenger ferry services were available from Athirampuzha to Alappuzha and Muhamma. In the 1960s after road transportation gained prominence, Ettumanoor by virtue of its location gained popularity and the slow decline of Athirampuzha started.