Healthcare Provider Details

I. General information

NPI: 1295225563
Provider Name (Legal Business Name): KATHYA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2018
Last Update Date: 05/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 SKYLINE DR
DALLAS TX
75243-4198
US

IV. Provider business mailing address

9028 CLEARHURST DR
DALLAS TX
75238-3388
US

V. Phone/Fax

Practice location:
  • Phone: 214-355-9001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: