MEDICARE: ASHLEY ROSE WILSON 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	MA74162	FL

General Provider Information

NPI Number	:	1407798796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROSE WILSON LMT

Provider Business Mailing Address
First Line	:	9309 PINE LN
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34472-2905
Country	:	US
Telephone Number	:	561-818-8041
Fax Number	:

Provider Business Practice Location Address
First Line	:	917 E SILVER SPRINGS BLVD STE 4
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-6789
Country	:	US
Telephone Number	:	561-818-8041
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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