Provider Demographics
NPI:1023518784
Name:HATFIELD, ASHLI ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLI
Middle Name:ANN
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 NE STEPHENS ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-3158
Mailing Address - Country:US
Mailing Address - Phone:541-673-5770
Mailing Address - Fax:541-673-5774
Practice Address - Street 1:470 NE STEPHENS ST STE 102
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3158
Practice Address - Country:US
Practice Address - Phone:541-673-5770
Practice Address - Fax:541-673-5774
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR397548208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation