Healthcare Provider Details

I. General information

NPI: 1235096512
Provider Name (Legal Business Name): ASHLEY ATHMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HEALTHY WAY
OLIVIA MN
56277-1117
US

IV. Provider business mailing address

100 HEALTHY WAY
OLIVIA MN
56277-1117
US

V. Phone/Fax

Practice location:
  • Phone: 320-523-3470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number106304
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: