Provider Demographics
NPI:1003780347
Name:VELIZ, ASHLY JUDITH
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:JUDITH
Last Name:VELIZ
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 1:3814 S 185TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5018
Mailing Address - Country:US
Mailing Address - Phone:206-460-1830
Mailing Address - Fax:
Practice Address - Street 1:16005 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-2993
Practice Address - Country:US
Practice Address - Phone:206-460-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61596897225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist