Provider Demographics
NPI:1700999653
Name:REED, ASHLEY MICHELLE (MOT OTRL)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:REED
Suffix:
Gender:F
Credentials:MOT OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 155TH ST
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:IA
Mailing Address - Zip Code:52037-9106
Mailing Address - Country:US
Mailing Address - Phone:563-940-4098
Mailing Address - Fax:
Practice Address - Street 1:4725 MERLE HAY ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322
Practice Address - Country:US
Practice Address - Phone:515-331-3190
Practice Address - Fax:515-331-3191
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1727225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist