Healthcare Provider Details

I. General information

NPI: 1275467433
Provider Name (Legal Business Name): ASHLEY NICOLE ZUPON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 OXFIELD ST
PITTSBURGH PA
15212-2429
US

IV. Provider business mailing address

3131 OXFIELD ST
PITTSBURGH PA
15212-2429
US

V. Phone/Fax

Practice location:
  • Phone: 412-956-5416
  • Fax:
Mailing address:
  • Phone: 412-956-5416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG011255
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: