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NPI Code Detail

MEDICARE: ASHLEY HORTON

MEDICARE:   ASHLEY  HORTON
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
1225X00000XOccupational Therapist60132153WA

General Provider Information

NPI Number : 1871892984
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HORTON
Provider Business Mailing Address
First Line : 6232 S 251ST ST
Second Line : QQ 303
City : KENT
State : WA
Zip : 98032-2249
Country : US
Telephone Number : 253-569-0901
Fax Number :
Provider Business Practice Location Address
First Line : 17605 107TH STREET CT E
Second Line :
City : BONNEY LAKE
State : WA
Zip : 98391-5125
Country : US
Telephone Number : 253-569-0901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2011
Last Update Date : 08/19/2024

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Directions to “ ASHLEY HORTON ” Practice Location

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