Provider Demographics
NPI:1841874286
Name:ESTES, ASHLEY M F
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M F
Last Name:ESTES
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 1:6236 RIDGE POND RD APT I
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-4082
Mailing Address - Country:US
Mailing Address - Phone:571-288-8279
Mailing Address - Fax:
Practice Address - Street 1:6236 RIDGE POND RD APT I
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-4082
Practice Address - Country:US
Practice Address - Phone:571-288-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019016004225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist