Healthcare Provider Details

I. General information

NPI: 1447177357
Provider Name (Legal Business Name): MARK A ASH JR. LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2106 N RIDGE RD
ELYRIA OH
44035-1241
US

IV. Provider business mailing address

2106 N RIDGE RD
ELYRIA OH
44035-1241
US

V. Phone/Fax

Practice location:
  • Phone: 440-240-9390
  • Fax: 440-240-9370
Mailing address:
  • Phone: 440-240-9390
  • Fax: 440-240-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.024031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: