Provider Demographics
NPI:1053053785
Name:MAY, ASHLEY KAY (LMT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KAY
Last Name:MAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 VERMONT ST NE STE D101B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3722
Mailing Address - Country:US
Mailing Address - Phone:505-886-1807
Mailing Address - Fax:
Practice Address - Street 1:2509 VERMONT ST NE STE D101B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3722
Practice Address - Country:US
Practice Address - Phone:505-886-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM9570225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist