Provider Demographics
NPI:1942731435
Name:STEDMAN, ASHLEY REED (OTD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:REED
Last Name:STEDMAN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 NIGHTRIDER DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-2574
Mailing Address - Country:US
Mailing Address - Phone:401-595-3805
Mailing Address - Fax:
Practice Address - Street 1:2052 NIGHTRIDER DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-2574
Practice Address - Country:US
Practice Address - Phone:401-595-3805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-25
Last Update Date:2017-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16-0682225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation