Provider Demographics
NPI:1891479069
Name:HOLSTEIN, ASHLEY JOHNSTON
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JOHNSTON
Last Name:HOLSTEIN
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 1:3915 BARONNE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5378
Mailing Address - Country:US
Mailing Address - Phone:504-982-1146
Mailing Address - Fax:
Practice Address - Street 1:3915 BARONNE ST APT 3
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5378
Practice Address - Country:US
Practice Address - Phone:504-982-1146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA085522251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic