Provider Demographics
NPI:1437762499
Name:INTERRANTE, ASHLEY MARIE (ATC, PES, CSS, NREMT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:INTERRANTE
Suffix:
Gender:F
Credentials:ATC, PES, CSS, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-7210
Mailing Address - Country:US
Mailing Address - Phone:610-850-4866
Mailing Address - Fax:
Practice Address - Street 1:300 HEINZ ST APT C204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5992
Practice Address - Country:US
Practice Address - Phone:610-850-4866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program