Provider Demographics
NPI:1598652919
Name:RAMSEY, MARISSA MAY (CPSS)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:MAY
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E 7420 S
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2183
Mailing Address - Country:US
Mailing Address - Phone:385-449-1826
Mailing Address - Fax:
Practice Address - Street 1:118 E 7420 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2183
Practice Address - Country:US
Practice Address - Phone:385-449-1826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTF25-117136175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist