Healthcare Provider Details

I. General information

NPI: 1568334563
Provider Name (Legal Business Name): REBECCA RAMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 MONTFORD AVE
ASHEVILLE NC
28801-1051
US

IV. Provider business mailing address

121 SKY HIGH DR
BLACK MOUNTAIN NC
28711-9766
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-9016
  • Fax:
Mailing address:
  • Phone: 713-478-3553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12749
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: