Provider Demographics
NPI:1821237405
Name:ZOGRAFOS, ASHLEY BETH (LMP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:BETH
Last Name:ZOGRAFOS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8921 E ALKI AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2705
Mailing Address - Country:US
Mailing Address - Phone:509-928-5100
Mailing Address - Fax:509-928-1651
Practice Address - Street 1:8921 E ALKI AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2705
Practice Address - Country:US
Practice Address - Phone:509-928-5100
Practice Address - Fax:509-928-1651
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60058630225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist