Provider Demographics
NPI:1093353229
Name:BREIT, ASHLEY TRULA (LMT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TRULA
Last Name:BREIT
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:PO BOX 20795
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-0795
Mailing Address - Country:US
Mailing Address - Phone:406-598-7528
Mailing Address - Fax:406-371-7286
Practice Address - Street 1:1620 ALDERSON AVE UNIT 23
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4168
Practice Address - Country:US
Practice Address - Phone:406-598-7528
Practice Address - Fax:406-371-7286
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT16062225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist