Provider Demographics
NPI:1164903811
Name:RAMSEY, TAYLOR NICOLE (ATC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:NICOLE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6154 S TECUMSEH RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-6751
Mailing Address - Country:US
Mailing Address - Phone:937-926-4314
Mailing Address - Fax:
Practice Address - Street 1:100 US HIGHWAY 11
Practice Address - Street 2:UWA STATION 14
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470-3547
Practice Address - Country:US
Practice Address - Phone:888-636-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X, 390200000X
AL25582255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program