Provider Demographics
NPI:1811755275
Name:ECKMAN, ASHLIE
Entity type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:ECKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7067 TIFFANY BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1803
Mailing Address - Country:US
Mailing Address - Phone:330-707-4482
Mailing Address - Fax:
Practice Address - Street 1:7067 TIFFANY BLVD STE 280
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1803
Practice Address - Country:US
Practice Address - Phone:330-707-4482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.025717225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist