Provider Demographics
NPI:1790449932
Name:CHRISTMAS, ASHLEY P (MOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:P
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HARDEN DR
Mailing Address - Street 2:
Mailing Address - City:MERIGOLD
Mailing Address - State:MS
Mailing Address - Zip Code:38759-9666
Mailing Address - Country:US
Mailing Address - Phone:901-258-1241
Mailing Address - Fax:
Practice Address - Street 1:36 HARDEN DR
Practice Address - Street 2:
Practice Address - City:MERIGOLD
Practice Address - State:MS
Practice Address - Zip Code:38759-9666
Practice Address - Country:US
Practice Address - Phone:901-258-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT2576225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation