Provider Demographics
NPI:1366961708
Name:NUNLEY, ASHLEY ANN (LMT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:NUNLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1886 CALLE QUEDO APT B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5899
Mailing Address - Country:US
Mailing Address - Phone:512-815-6837
Mailing Address - Fax:
Practice Address - Street 1:2021 PINON ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3454
Practice Address - Country:US
Practice Address - Phone:512-815-6837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM8324225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM8324OtherLICENSE