Provider Demographics
NPI:1235245465
Name:BINKS, ASHLEY KATHERINE (MOT, OTR L)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:KATHERINE
Last Name:BINKS
Suffix:
Gender:F
Credentials:MOT, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2901
Mailing Address - Country:US
Mailing Address - Phone:563-271-9432
Mailing Address - Fax:
Practice Address - Street 1:2535 MAPLECREST RD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7709
Practice Address - Country:US
Practice Address - Phone:563-421-3497
Practice Address - Fax:563-732-4318
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01723225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics