Provider Demographics
NPI:1386834786
Name:SPENCER, ASHLEY REDDMANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:REDDMANN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 STILLWATER CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9111
Mailing Address - Country:US
Mailing Address - Phone:870-931-3960
Mailing Address - Fax:
Practice Address - Street 1:4500 STILLWATER CV
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9111
Practice Address - Country:US
Practice Address - Phone:870-931-3960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist