Provider Demographics
NPI:1437546686
Name:RAMSEY, MARK STEPHEN (MA, ATC, CSCS, CES)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:STEPHEN
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MA, ATC, CSCS, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 ADA AVE
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-9252
Mailing Address - Country:US
Mailing Address - Phone:831-239-9233
Mailing Address - Fax:
Practice Address - Street 1:6500 SOQUEL DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3119
Practice Address - Country:US
Practice Address - Phone:831-479-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0600022332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer