Provider Demographics
NPI:1609174549
Name:RAMSDELL, TAYLOR ISAIAH (DC)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ISAIAH
Last Name:RAMSDELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N LINDSAY ROAD #7
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-9201
Mailing Address - Country:US
Mailing Address - Phone:319-750-4903
Mailing Address - Fax:
Practice Address - Street 1:309 W. 9TH STREET
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-4214
Practice Address - Country:US
Practice Address - Phone:319-750-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor