Healthcare Provider Details

I. General information

NPI: 1477380590
Provider Name (Legal Business Name): ASHLEY TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2024
Last Update Date: 09/14/2024
Certification Date: 09/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HOOVER DR
NORTH MANKATO MN
56003-2667
US

IV. Provider business mailing address

14 COLUMBIA CT
NORTH MANKATO MN
56003-3234
US

V. Phone/Fax

Practice location:
  • Phone: 507-387-2037
  • Fax:
Mailing address:
  • Phone: 706-308-3575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number528767
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: