Provider Demographics
NPI:1497525885
Name:WOLFLEY, AMBREY FRAZIER (LMT)
Entity Type:Individual
Prefix:MRS
First Name:AMBREY
Middle Name:FRAZIER
Last Name:WOLFLEY
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 1:18610 E RITTENHOUSE RD # A101
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4503
Mailing Address - Country:US
Mailing Address - Phone:480-999-4700
Mailing Address - Fax:480-999-4700
Practice Address - Street 1:18610 E RITTENHOUSE RD # A101
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4503
Practice Address - Country:US
Practice Address - Phone:480-999-4700
Practice Address - Fax:480-999-4700
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-29245225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist