MEDICARE: ASHLEY ELIZABETH TANNER SMITHSON

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	225X00000X	Occupational Therapist	3997	SC

General Provider Information

NPI Number	:	1588303135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH TANNER SMITHSON

Provider Business Mailing Address
First Line	:	611 26TH AVE S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-4449
Country	:	US
Telephone Number	:	843-455-7949
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 26TH AVE S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-4449
Country	:	US
Telephone Number	:	843-455-7949
Fax Number	:

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

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/01/2022

Similar Medicare Providers

1275154031 — SHREYA BODAR
Practice Location Address:

9573 COBBLESTONE CREEK DR
BOYNTON BEACH, FL
33472-4449

Practice Phone: 561-523-6906
Practice Fax:

1508482456 — MR. KELLY SIMEON
Practice Location Address:

360 SE 12TH AVE APT 1
DEERFIELD BEACH, FL
33441-4449

Practice Phone: 954-256-3673
Practice Fax: 800-390-1648

1225304983 — FIORELLA NATALIA DUQUE
Practice Location Address:

9004 NEWKIRK AVE
NORTH BERGEN, NJ
07047-4449

Practice Phone: 201-403-6933
Practice Fax:

1821464660 — HUDSON MILESTONES
Practice Location Address:

9000 NEWKIRK AVE
NORTH BERGEN, NJ
07047-4449

Practice Phone: 201-434-7783
Practice Fax:

1134019557 — CHLOE SMITH PLMSW
Practice Location Address:

2011 AZTEC DR APT 901
NORTH LITTLE ROCK, AR
72116-4449

Practice Phone: 501-398-1547
Practice Fax: 501-398-1547

1649120189 — ALEXANDRIA LYNNE QUINN
Practice Location Address:

4511 ALBATROSS ST
NORTH MYRTLE BEACH, SC
29582-6503

Practice Phone: 843-360-1638
Practice Fax:

Directions to “ ASHLEY ELIZABETH TANNER SMITHSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.