Provider Demographics
NPI:1871892984
Name:HORTON, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HORTON
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 1:6232 S 251ST ST
Mailing Address - Street 2:QQ 303
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2249
Mailing Address - Country:US
Mailing Address - Phone:253-569-0901
Mailing Address - Fax:
Practice Address - Street 1:17605 107TH STREET CT E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5125
Practice Address - Country:US
Practice Address - Phone:253-569-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60132153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist