Healthcare Provider Details

I. General information

NPI: 1134690225
Provider Name (Legal Business Name): ASHLEY CURRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SEGUIRA

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 29TH ST SE
GRAND RAPIDS MI
49512-1936
US

IV. Provider business mailing address

4232 29TH ST SE
GRAND RAPIDS MI
49512-1936
US

V. Phone/Fax

Practice location:
  • Phone: 616-942-1818
  • Fax:
Mailing address:
  • Phone: 616-942-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3502013372
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: