| NPI | 1013177245 |
|---|---|
| Former Name | ASHLEY MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4798) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 7009403-2401) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-06-26 |