Provider Demographics
NPI:1780052621
Name:DOYLE, ASHLEE (LMT)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NIKLES DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2570
Mailing Address - Country:US
Mailing Address - Phone:310-753-2627
Mailing Address - Fax:
Practice Address - Street 1:601 NIKLES DR
Practice Address - Street 2:SUITE 6
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2570
Practice Address - Country:US
Practice Address - Phone:310-753-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-8133225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist