Provider Demographics
NPI:1194518845
Name:SATTAN, ASHANTI KAYLA
Entity type:Individual
Prefix:
First Name:ASHANTI
Middle Name:KAYLA
Last Name:SATTAN
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 1:224 5TH ST # B
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:07022-1440
Mailing Address - Country:US
Mailing Address - Phone:201-688-5087
Mailing Address - Fax:
Practice Address - Street 1:224 5TH ST # B
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NJ
Practice Address - Zip Code:07022-1440
Practice Address - Country:US
Practice Address - Phone:201-688-5087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer