Provider Demographics
NPI:1114220746
Name:ASHTON, TICA F (RMT)
Entity Type:Individual
Prefix:
First Name:TICA
Middle Name:F
Last Name:ASHTON
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:TICA
Other - Middle Name:F
Other - Last Name:PERRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RMT
Mailing Address - Street 1:1639 S EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2729
Mailing Address - Country:US
Mailing Address - Phone:303-777-2745
Mailing Address - Fax:
Practice Address - Street 1:695 S COLORADO BLVD
Practice Address - Street 2:SUITE 265
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8008
Practice Address - Country:US
Practice Address - Phone:303-759-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5497225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist