Provider Demographics
NPI: | 1093097024 |
---|---|
Name: | RAMSEY, NANCY SUE (MS, OTR/L, CDRS) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | NANCY |
Middle Name: | SUE |
Last Name: | RAMSEY |
Suffix: | |
Gender: | F |
Credentials: | MS, OTR/L, CDRS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 180 BRADFORD CIR |
Mailing Address - Street 2: | |
Mailing Address - City: | HENDERSONVILLE |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37075-3999 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 615-294-3825 |
Mailing Address - Fax: | 615-829-8763 |
Practice Address - Street 1: | 180 BRADFORD CIR |
Practice Address - Street 2: | |
Practice Address - City: | HENDERSONVILLE |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37075-3999 |
Practice Address - Country: | US |
Practice Address - Phone: | 615-294-3825 |
Practice Address - Fax: | 615-829-8763 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2011-09-15 |
Last Update Date: | 2011-09-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | OT0000000373 | 225X00000X, 225XR0403X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |