Provider Demographics
NPI:1891489407
Name:RAMIREZ, ALEJANDRA (LMT)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
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 1:1776 S JACKSON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3804
Mailing Address - Country:US
Mailing Address - Phone:970-691-1000
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3804
Practice Address - Country:US
Practice Address - Phone:970-691-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0022797172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist