Provider Demographics
NPI:1689123523
Name:FLESHER, ANNA (ATS)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:FLESHER
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 FLATWOODS RD
Mailing Address - Street 2:
Mailing Address - City:RAVENSWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26164-3691
Mailing Address - Country:US
Mailing Address - Phone:304-532-9513
Mailing Address - Fax:
Practice Address - Street 1:1819 FLATWOODS RD
Practice Address - Street 2:
Practice Address - City:RAVENSWOOD
Practice Address - State:WV
Practice Address - Zip Code:26164-3691
Practice Address - Country:US
Practice Address - Phone:304-532-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer