Provider Demographics
NPI:1821868233
Name:RAMOS, AARON DANIEL
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:DANIEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W 16TH AVE APT 614
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2270
Mailing Address - Country:US
Mailing Address - Phone:806-678-4141
Mailing Address - Fax:
Practice Address - Street 1:1619 S KENTUCKY ST STE F640
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2291
Practice Address - Country:US
Practice Address - Phone:806-646-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2157237225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant