MEDICARE: MS. ASHLEY YVETTE TOWNSEND LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA91953	FL

General Provider Information

NPI Number	:	1659037323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY YVETTE TOWNSEND LMT

Provider Business Mailing Address
First Line	:	PO BOX 190375
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-0375
Country	:	US
Telephone Number	:	305-783-4059
Fax Number	:

Provider Business Practice Location Address
First Line	:	7445 NW 57TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2101
Country	:	US
Telephone Number	:	305-783-4059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	11/16/2021

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