Doctor Name: | MS. ASHLEY MARIE BREITZMAN |
NPI Number: | 1013280304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 1285 |
Business Practice Address: | 3301 13th Ave S Suite 103 Fargo, ND - 581036303 |
Business Phone Number: | 7013731921 |
Business Fax Number: | 7012340422 |
Mailing Address: | 3301 13th Ave S, Suite 103 FARGO |
State: | ND |
Postal Code: | 581036303 |
Phone Number: | 7013731921 |
Fax Number: | 7012340422 |
NPI Enumeration Date: | 02/16/2012 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |