Healthcare Provider Details

I. General information

NPI: 1447843156
Provider Name (Legal Business Name): ADRIENNE RAMSEY MHA, LMT, CHES, MMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4737 E MAIN ST
COLUMBUS OH
43213-3160
US

IV. Provider business mailing address

4737 E MAIN ST
COLUMBUS OH
43213-3160
US

V. Phone/Fax

Practice location:
  • Phone: 614-330-4507
  • Fax:
Mailing address:
  • Phone: 614-330-4507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.018711
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: