Provider Demographics
NPI:1659020667
Name:LANKFORD, ASHLEY ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:LANKFORD
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 1:2621 2ND AVE UNIT 706
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1256
Mailing Address - Country:US
Mailing Address - Phone:720-236-4906
Mailing Address - Fax:
Practice Address - Street 1:12505 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8040
Practice Address - Country:US
Practice Address - Phone:720-236-4906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61252721225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist