Provider Demographics
NPI:1548835440
Name:HOUCHIN, ASHLEY RENEE NELSON (CMT, CLT, MMT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE NELSON
Last Name:HOUCHIN
Suffix:
Gender:F
Credentials:CMT, CLT, MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 HILLTOP DR STE A1
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0265
Mailing Address - Country:US
Mailing Address - Phone:530-248-0016
Mailing Address - Fax:
Practice Address - Street 1:2051 HILLTOP DR STE A1
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0265
Practice Address - Country:US
Practice Address - Phone:530-248-0016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80309225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist