Provider Demographics
NPI:1306521521
Name:RAMEY, KATHLEEN HEIGLE (LMBT #16286)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:HEIGLE
Last Name:RAMEY
Suffix:
Gender:F
Credentials:LMBT #16286
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4464 MARION DR
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:NC
Mailing Address - Zip Code:28682-9782
Mailing Address - Country:US
Mailing Address - Phone:704-437-0734
Mailing Address - Fax:
Practice Address - Street 1:344 ROLLING HILL RD STE 204C
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6865
Practice Address - Country:US
Practice Address - Phone:704-437-9734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist