MEDICARE: ASHLY MICHELLE D'AGOSTINO

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	MT140538	TX

General Provider Information

NPI Number	:	1760324826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLY MICHELLE D'AGOSTINO

Provider Business Mailing Address
First Line	:	2041 W HEBRON PKWY APT 3328
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-6392
Country	:	US
Telephone Number	:	469-669-5214
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 CHURCHILL DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2700
Country	:	US
Telephone Number	:	469-669-5214
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ ASHLY MICHELLE D'AGOSTINO ” Practice Location

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