Provider Demographics
NPI:1710407754
Name:RAMIREZ, ARTURO (LMT)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 W 32ND AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-2088
Mailing Address - Country:US
Mailing Address - Phone:907-538-1717
Mailing Address - Fax:
Practice Address - Street 1:3601 MINNESOTA DR STE B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3668
Practice Address - Country:US
Practice Address - Phone:907-770-1255
Practice Address - Fax:907-770-1256
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK102047225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist