Provider Demographics
NPI:1164832804
Name:PHAIGH, ASHLEY RHIO (LMT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RHIO
Last Name:PHAIGH
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 653
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:OR
Mailing Address - Zip Code:97533-0653
Mailing Address - Country:US
Mailing Address - Phone:541-660-2791
Mailing Address - Fax:
Practice Address - Street 1:1607 WILLIAMS HWY STE 6
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5674
Practice Address - Country:US
Practice Address - Phone:541-660-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-03
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20111225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist