Provider Demographics
NPI:1013186733
Name:REAMS, ASHLEY RAYANN
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:RAYANN
Last Name:REAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-0160
Mailing Address - Country:US
Mailing Address - Phone:606-598-7673
Mailing Address - Fax:606-598-7942
Practice Address - Street 1:376 MANCHESTER SQUARE SHPG CTR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-8700
Practice Address - Country:US
Practice Address - Phone:606-598-7673
Practice Address - Fax:606-598-7942
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist