Provider Demographics
NPI:1053628107
Name:CHEVAL, ASHA (LMT)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:CHEVAL
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 1:2799 SISKIYOU BLVD
Mailing Address - Street 2:UNIT 29
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9537
Mailing Address - Country:US
Mailing Address - Phone:541-301-8201
Mailing Address - Fax:
Practice Address - Street 1:2799 SISKIYOU BLVD
Practice Address - Street 2:UNIT 29
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-9537
Practice Address - Country:US
Practice Address - Phone:541-301-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist