Provider Demographics
NPI:1396019873
Name:RAMIREZ, KATHRYN MICHELLE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MICHELLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PTA
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Mailing Address - Street 1:2404 SMITH RANCH RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:713-436-3669
Mailing Address - Fax:713-436-4582
Practice Address - Street 1:2404 SMITH RANCH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-436-3669
Practice Address - Fax:713-436-4582
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2056189225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant