Provider Demographics
NPI:1295205888
Name:ECKMANN, ASHLIE ANN (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:ANN
Last Name:ECKMANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLIE
Other - Middle Name:ANN
Other - Last Name:GUARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:625 N 144TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1935
Mailing Address - Country:US
Mailing Address - Phone:402-934-8688
Mailing Address - Fax:402-934-8689
Practice Address - Street 1:625 N 144TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1935
Practice Address - Country:US
Practice Address - Phone:402-934-8688
Practice Address - Fax:402-934-8689
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3899208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation