Provider Demographics
NPI:1568224574
Name:RIOS, RAMON (RNT)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:RIOS
Suffix:
Gender:M
Credentials:RNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 N WEBER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6970
Mailing Address - Country:US
Mailing Address - Phone:719-473-0399
Mailing Address - Fax:
Practice Address - Street 1:2121 N WEBER ST STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6970
Practice Address - Country:US
Practice Address - Phone:719-201-3725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0017884225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist