Provider Demographics
NPI:1861176448
Name:LATSON, ASHLEY ELLA (MMT, LMT, HHA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELLA
Last Name:LATSON
Suffix:
Gender:F
Credentials:MMT, LMT, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8450 WILLOW PLACE DR N APT 2307
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5622
Mailing Address - Country:US
Mailing Address - Phone:281-902-9234
Mailing Address - Fax:
Practice Address - Street 1:8450 WILLOW PLACE DR N APT 2307
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5622
Practice Address - Country:US
Practice Address - Phone:281-902-9234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 372600000X, 374U00000X
TXMT134113225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide