Provider Demographics
NPI:1174827265
Name:GEIER, ASHLIE MARIE (LMT)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:MARIE
Last Name:GEIER
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 1:5597 STATE ROUTE 49
Mailing Address - Street 2:
Mailing Address - City:FORT RECOVERY
Mailing Address - State:OH
Mailing Address - Zip Code:45846
Mailing Address - Country:US
Mailing Address - Phone:937-417-3871
Mailing Address - Fax:419-586-1333
Practice Address - Street 1:913 W LOGAN ST
Practice Address - Street 2:SUITE D
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2000
Practice Address - Country:US
Practice Address - Phone:419-586-1333
Practice Address - Fax:419-586-1333
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17324225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist