Provider Demographics
NPI:1164817029
Name:EMELY RAMOS LMT
Entity Type:Organization
Organization Name:EMELY RAMOS LMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMELY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:203-695-4231
Mailing Address - Street 1:35 ROSE ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-4134
Mailing Address - Country:US
Mailing Address - Phone:203-695-4231
Mailing Address - Fax:
Practice Address - Street 1:35 ROSE ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-4134
Practice Address - Country:US
Practice Address - Phone:203-695-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008443171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty