Provider Demographics
NPI:1336387000
Name:CALCUTTA-HASTING, ASHLEY BROOKE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BROOKE
Last Name:CALCUTTA-HASTING
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:70 BIRCH ALY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-1479
Mailing Address - Country:US
Mailing Address - Phone:937-829-0802
Mailing Address - Fax:937-660-6378
Practice Address - Street 1:70 BIRCH ALY
Practice Address - Street 2:SUITE 240
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-1479
Practice Address - Country:US
Practice Address - Phone:937-829-0808
Practice Address - Fax:937-660-6378
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11812225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist