Provider Demographics
NPI:1164949863
Name:HARRIMAN, ASHLEE (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:HARRIMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:MARZAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1681 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-1913
Mailing Address - Country:US
Mailing Address - Phone:507-625-8017
Mailing Address - Fax:
Practice Address - Street 1:1681 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003
Practice Address - Country:US
Practice Address - Phone:507-625-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9723225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist