Provider Demographics
NPI:1659037323
Name:TOWNSEND, ASHLEY YVETTE (LMT)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:YVETTE
Last Name:TOWNSEND
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:PO BOX 190375
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-0375
Mailing Address - Country:US
Mailing Address - Phone:305-783-4059
Mailing Address - Fax:
Practice Address - Street 1:7445 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2101
Practice Address - Country:US
Practice Address - Phone:305-783-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA91953225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist