Provider Demographics
NPI:1861939167
Name:WEINZIERL, ASHLEY MARIE (LAT, ATC)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARIE
Last Name:WEINZIERL
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 S 500 E
Mailing Address - Street 2:APT 2A
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-3597
Mailing Address - Country:US
Mailing Address - Phone:814-525-9971
Mailing Address - Fax:
Practice Address - Street 1:803 S 500 E
Practice Address - Street 2:APT 2A
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-3597
Practice Address - Country:US
Practice Address - Phone:814-525-9971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9498300-48102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer