Basic Information
Provider Information
NPI: 1114142577
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: ASHLI
MiddleName: RHODES
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L, LMP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 805 MADISON ST
Address2: SUITE 901
City: SEATTLE
State: WA
PostalCode: 981041172
CountryCode: US
TelephoneNumber: 2062648100
FaxNumber:  
Practice Location
Address1: 1401 S LAVENTURE RD
Address2:  
City: MOUNT VERNON
State: WA
PostalCode: 982746033
CountryCode: US
TelephoneNumber: 3604242400
FaxNumber: 3602422418
Other Information
ProviderEnumerationDate: 04/13/2007
LastUpdateDate: 01/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT60075294WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225700000XMA00023334WAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist 

No ID Information.


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