MEDICARE: DANIELLE ASH LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT.0015819	CO

General Provider Information

NPI Number	:	1235844770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ASH LMT

Provider Business Mailing Address
First Line	:	11438 HILLTOP RD
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-6024
Country	:	US
Telephone Number	:	303-720-2396
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S PERRY ST STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1924
Country	:	US
Telephone Number	:	303-720-2396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	01/19/2023

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