Provider Demographics
NPI:1487176905
Name:MOORE, ASHLEY MELISSA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MELISSA
Last Name:MOORE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 SW FLEMING CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1851
Mailing Address - Country:US
Mailing Address - Phone:785-440-0500
Mailing Address - Fax:
Practice Address - Street 1:1031 SW FLEMING CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1851
Practice Address - Country:US
Practice Address - Phone:785-440-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist