Healthcare Provider Details

I. General information

NPI: 1386549566
Provider Name (Legal Business Name): BRYAN RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 MINOR AVE APT B207
SEATTLE WA
98101-4224
US

IV. Provider business mailing address

1321 MINOR AVE APT B207
SEATTLE WA
98101-4224
US

V. Phone/Fax

Practice location:
  • Phone: 360-304-0182
  • Fax:
Mailing address:
  • Phone: 360-304-0182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.60622314
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: