Provider Demographics
NPI:1578065603
Name:TARRAS, ASHLEY CURTIS (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CURTIS
Last Name:TARRAS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PAVILLIONS CIR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-3198
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6155 JEFFREY PL
Practice Address - Street 2:
Practice Address - City:GRAWN
Practice Address - State:MI
Practice Address - Zip Code:49637-9557
Practice Address - Country:US
Practice Address - Phone:989-305-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201007996225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist