Provider Demographics
NPI:1578838033
Name:RAMIREZ, KAREN L (LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 E RACINE DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6785
Mailing Address - Country:US
Mailing Address - Phone:520-483-3037
Mailing Address - Fax:520-466-3772
Practice Address - Street 1:1312 E RACINE DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6785
Practice Address - Country:US
Practice Address - Phone:520-483-3037
Practice Address - Fax:520-466-3772
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16891172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist