MEDICARE: ASHLEY STREET MA

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	MA60042637	WA

General Provider Information

NPI Number	:	1528901923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY STREET MA

Provider Business Mailing Address
First Line	:	7901 SKANSIE AVE
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-8349
Country	:	US
Telephone Number	:	253-225-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 SKANSIE AVE STE 110
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-8349
Country	:	US
Telephone Number	:	253-225-5383
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ ASHLEY STREET MA” Practice Location

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