Doctor Name: | MISS ASHLEY ELLEN SMITH |
NPI Number: | 1851723548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 2009014001 |
Business Practice Address: | 3488 Jeffco Blvd 102 Arnold, MO - 630106015 |
Business Phone Number: | 6364645438 |
Business Fax Number: | |
Mailing Address: | 7327 Delmar Blvd, 2e SAINT LOUIS |
State: | MO |
Postal Code: | 631304111 |
Phone Number: | 3148141665 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2009014001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |