Provider Demographics
NPI:1760805279
Name:FRAZIER, ASHLEY (MT-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4280 HICKORY FLAT HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-6633
Mailing Address - Country:US
Mailing Address - Phone:770-345-2804
Mailing Address - Fax:678-827-0927
Practice Address - Street 1:4280 HICKORY FLAT HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-6633
Practice Address - Country:US
Practice Address - Phone:770-345-2804
Practice Address - Fax:678-827-0927
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist