Provider Demographics
NPI:1336873488
Name:DEMOSS, ASHLEY KAY (OTA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:KAY
Last Name:DEMOSS
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:410 N 7TH ST APT 12
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-9598
Mailing Address - Country:US
Mailing Address - Phone:641-891-1236
Mailing Address - Fax:
Practice Address - Street 1:2602 FIFIELD RD
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7925
Practice Address - Country:US
Practice Address - Phone:641-828-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001011224ZR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility