Provider Demographics
NPI:1255767240
Name:RAMSEY, CODY GARRETT (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:CODY
Middle Name:GARRETT
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S FREE KING HWY
Mailing Address - Street 2:APT C
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-8446
Mailing Address - Country:US
Mailing Address - Phone:785-564-3984
Mailing Address - Fax:
Practice Address - Street 1:100 N PINE ST
Practice Address - Street 2:PO BOX
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-4756
Practice Address - Country:US
Practice Address - Phone:620-231-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-006682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer