Healthcare Provider Details
I. General information
NPI: 1780656777
Provider Name (Legal Business Name): MISTY DAWN RAMIREZ MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 02/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7640 HIGHWAY 70 SOUTH STE 210
NASHVILLE TN
37221
US
IV. Provider business mailing address
PO BOX 681478
FRANKLIN TN
37068-1478
US
V. Phone/Fax
- Phone: 615-673-1420
- Fax: 615-673-1421
- Phone: 866-800-9147
- Fax: 615-591-6601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 7288 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | 945 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: