Provider Demographics
NPI:1780335919
Name:REEDY, ASHTON (COTA)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:REEDY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MN
Mailing Address - Zip Code:55972-1325
Mailing Address - Country:US
Mailing Address - Phone:507-932-0279
Mailing Address - Fax:
Practice Address - Street 1:525 BLUFF AVE
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MN
Practice Address - Zip Code:55972-1325
Practice Address - Country:US
Practice Address - Phone:507-932-0279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant