Provider Demographics
NPI:1740094994
Name:BARRY, ASHLEY DENNI (LMT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DENNI
Last Name:BARRY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DENNI
Other - Last Name:PARMENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43250 370TH RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:NE
Mailing Address - Zip Code:68869-4067
Mailing Address - Country:US
Mailing Address - Phone:308-850-6799
Mailing Address - Fax:
Practice Address - Street 1:43250 370TH RD
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:NE
Practice Address - Zip Code:68869-4067
Practice Address - Country:US
Practice Address - Phone:308-850-6799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
NE3859225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant