Provider Demographics
NPI:1437544566
Name:TINNEY, ASHLEY KATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:KATHERINE
Last Name:TINNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:KATHERINE
Other - Last Name:LEICHLITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1829 GOUGH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2609
Mailing Address - Country:US
Mailing Address - Phone:610-389-5685
Mailing Address - Fax:
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2945
Practice Address - Country:US
Practice Address - Phone:443-444-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0087346208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation