Healthcare Provider Details

I. General information

NPI: 1467371518
Provider Name (Legal Business Name): ASHLEY ROSE AESOPH OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 W 41ST ST
SIOUX FALLS SD
57106-6038
US

IV. Provider business mailing address

4710 E 54TH ST APT 256
SIOUX FALLS SD
57110-4461
US

V. Phone/Fax

Practice location:
  • Phone: 605-444-9700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: