Provider Demographics
NPI:1669779872
Name:RAMSDELL, DAWN NICOLE (LMP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:NICOLE
Last Name:RAMSDELL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:NICKI
Other - Middle Name:
Other - Last Name:RAMSDELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:731 N 148TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6506
Mailing Address - Country:US
Mailing Address - Phone:206-595-3455
Mailing Address - Fax:
Practice Address - Street 1:2918 NW 96TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-2639
Practice Address - Country:US
Practice Address - Phone:206-595-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA147398225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist