Provider Demographics
NPI:1740005909
Name:BOTTS, ASHLEIGH ROSE (LMT, CNMT)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:ROSE
Last Name:BOTTS
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:ROSE
Other - Last Name:SHTEINBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT, CNMT
Mailing Address - Street 1:9 ELK PATH
Mailing Address - Street 2:
Mailing Address - City:MANITOU SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80829-2112
Mailing Address - Country:US
Mailing Address - Phone:850-818-2051
Mailing Address - Fax:
Practice Address - Street 1:3505 AUSTIN BLUFFS PKWY STE 216
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5754
Practice Address - Country:US
Practice Address - Phone:850-818-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0023908225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist