MEDICARE: DR. ASHLEY REED STEDMAN OTD

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	225XP0019X	Physical Rehabilitation Occupational Therapist	16-0682	NV

General Provider Information

NPI Number	:	1942731435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY REED STEDMAN OTD

Provider Business Mailing Address
First Line	:	2052 NIGHTRIDER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-2574
Country	:	US
Telephone Number	:	401-595-3805
Fax Number	:

Provider Business Practice Location Address
First Line	:	2052 NIGHTRIDER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-2574
Country	:	US
Telephone Number	:	401-595-3805
Fax Number	:

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

Provider Enumeration Date	:	03/25/2017
Last Update Date	:	03/25/2017

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