Healthcare Provider Details
I. General information
NPI: 1619560323
Provider Name (Legal Business Name): RAMSEY MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
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
- Phone: 614-330-4507
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ADRIENNE
RAMSEY
Title or Position: OWNER
Credential: MHA, LMT, CHES, MMP
Phone: 614-330-4507