Provider Demographics
NPI:1275085268
Name:WITTE, ASHLEY (OTRL)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WITTE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8171 N VASSAR RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-9736
Mailing Address - Country:US
Mailing Address - Phone:989-666-6082
Mailing Address - Fax:
Practice Address - Street 1:8171 N VASSAR RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-9736
Practice Address - Country:US
Practice Address - Phone:989-666-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI317456174N00000X
MI5201009271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN