Provider Demographics
NPI:1518664119
Name:RANSDELL, LAUREN E (DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:RANSDELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 WINDFLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1175
Mailing Address - Country:US
Mailing Address - Phone:239-571-0170
Mailing Address - Fax:
Practice Address - Street 1:4718 WINDFLOWER CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1175
Practice Address - Country:US
Practice Address - Phone:239-571-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT37986225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist