Healthcare Provider Details

I. General information

NPI: 1639034523
Provider Name (Legal Business Name): ASHLEE QUILTER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 S 2150
OGDEN UT
84401-3395
US

IV. Provider business mailing address

3058 S 2150 W
OGDEN UT
84401-3395
US

V. Phone/Fax

Practice location:
  • Phone: 801-347-0741
  • Fax:
Mailing address:
  • Phone: 801-347-0741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12433593-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: