Provider Demographics
NPI:1043819642
Name:BALL, ASHLEY CHANELE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CHANELE
Last Name:BALL
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 W 42ND ST APT 201
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-4058
Mailing Address - Country:US
Mailing Address - Phone:714-931-7541
Mailing Address - Fax:
Practice Address - Street 1:959 W 42ND ST APT 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-4058
Practice Address - Country:US
Practice Address - Phone:714-931-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020026315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist