| NPI | 1336330315 |
|---|---|
| Former Name | ASHLEY AMBER KIERSTED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18011) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-08-14 |