Provider Demographics
NPI:1154684983
Name:SEEFELD, ASHLEY (CPO)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SEEFELD
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:SUPLRIZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2477 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2505
Mailing Address - Country:US
Mailing Address - Phone:415-921-7040
Mailing Address - Fax:415-921-7041
Practice Address - Street 1:2477 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2505
Practice Address - Country:US
Practice Address - Phone:415-921-7040
Practice Address - Fax:415-921-7041
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter