Provider Demographics
NPI:1003165473
Name:SHINKLE, ASHLEIGH DANIELLE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:DANIELLE
Last Name:SHINKLE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:DANIELLE
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:410 E PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2728
Mailing Address - Country:US
Mailing Address - Phone:607-206-5532
Mailing Address - Fax:
Practice Address - Street 1:1211 IRELAND DR
Practice Address - Street 2:#A
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4321
Practice Address - Country:US
Practice Address - Phone:910-486-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8376225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics