Provider Demographics
NPI:1679258420
Name:RIFE, ASHTYN (AUD)
Entity Type:Individual
Prefix:
First Name:ASHTYN
Middle Name:
Last Name:RIFE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ASHTYN
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4439 STATE ROUTE 159 STE G70
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-7203
Mailing Address - Country:US
Mailing Address - Phone:740-779-4327
Mailing Address - Fax:
Practice Address - Street 1:4439 STATE ROUTE 159 STE G70
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7203
Practice Address - Country:US
Practice Address - Phone:740-779-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02441231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist