Individual provider · NPI-1

Ashley Ray, CO

Prosthetist · Arlington, TX

NPI number1245598242
StatusActive
Last updated in NPPESApr 26, 2012

Details

NPI
1245598242
Entity type
Individual (NPI-1)
Name
Ashley Ray
Credential
CO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2012
Last updated
Apr 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetist1455TXYes
222Z00000X 1455TX

Other names

  • Ashley Koonce (Former Name)

Practice location

3030 Matlock Rd Ste 108
Arlington, TX 76015-2934

Phone 817-467-9977 · Fax 517-465-1040

Mailing address

3030 Matlock Rd Ste 108
Arlington, TX 76015-2934

Phone 817-467-9977 · Fax 517-465-1040

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