Healthcare Provider Details

I. General information

NPI: 1780509737
Provider Name (Legal Business Name): ASHLEY B SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 SHENANDOAH DR
ARDMORE OK
73401-1217
US

IV. Provider business mailing address

2224 S ROCKFORD PKWY
ARDMORE OK
73401-3030
US

V. Phone/Fax

Practice location:
  • Phone: 580-223-9485
  • Fax: 580-386-8324
Mailing address:
  • Phone: 580-223-9485
  • Fax: 580-386-8324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number2976
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number2976
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number2976
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: