Provider Demographics
NPI:1942580345
Name:COHEN, ASHLEY S
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:COHEN
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 1:4951 TAMIAMI TRL N # 103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3067
Mailing Address - Country:US
Mailing Address - Phone:239-262-1505
Mailing Address - Fax:
Practice Address - Street 1:4951 TAMIAMI TRL N # 103
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3067
Practice Address - Country:US
Practice Address - Phone:239-262-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA59554225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist