Provider Demographics
NPI:1013280304
Name:HUEBNER, ASHLEY MARIE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MARIE
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1336 25TH AVE S STE 204
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5202
Mailing Address - Country:US
Mailing Address - Phone:701-373-1921
Mailing Address - Fax:701-234-0422
Practice Address - Street 1:1336 25TH AVE S STE 204
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-5202
Practice Address - Country:US
Practice Address - Phone:701-373-1921
Practice Address - Fax:701-234-0422
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1285225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist