Provider Demographics
NPI:1720381304
Name:MILLHOUSE, ASHLEY LYN
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:LYN
Last Name:MILLHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 MANOR ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-2226
Mailing Address - Country:US
Mailing Address - Phone:717-201-8827
Mailing Address - Fax:
Practice Address - Street 1:1013 W MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9699
Practice Address - Country:US
Practice Address - Phone:717-367-6224
Practice Address - Fax:717-823-6382
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist