Provider Demographics
NPI:1538647490
Name:FERRET, ASHLEY MIRAMON (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MIRAMON
Last Name:FERRET
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ROSE
Other - Last Name:MIRAMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:806 SHADOW OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1246
Mailing Address - Country:US
Mailing Address - Phone:985-778-9703
Mailing Address - Fax:
Practice Address - Street 1:7003 HIGHWAY 190 EAST SERVICE RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4955
Practice Address - Country:US
Practice Address - Phone:985-801-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist