Provider Demographics
NPI:1760701601
Name:LYTLE, ASHLEA R (DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEA
Middle Name:R
Last Name:LYTLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ASHLEA
Other - Middle Name:R
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3119 SPAULDING AVE.
Mailing Address - Street 2:301
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008
Mailing Address - Country:US
Mailing Address - Phone:785-383-6135
Mailing Address - Fax:
Practice Address - Street 1:4112 OUTLOOK BLVD
Practice Address - Street 2:96
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1667
Practice Address - Country:US
Practice Address - Phone:719-562-6200
Practice Address - Fax:719-562-6225
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist