MEDICARE: MRS. ASHLEY NICOLE OSTLER

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	MA00023425	WA

General Provider Information

NPI Number	:	1316302656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY NICOLE OSTLER

Provider Business Mailing Address
First Line	:	416 LIBERTY LN
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-7850
Country	:	US
Telephone Number	:	509-948-1170
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 LIBERTY LN
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-7850
Country	:	US
Telephone Number	:	509-948-1170
Fax Number	:

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

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	12/30/2015

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