Provider Demographics
NPI:1063985331
Name:ATNIP, ASHLYN BROOKE
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:BROOKE
Last Name:ATNIP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 RAINBOW CIR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-3274
Mailing Address - Country:US
Mailing Address - Phone:706-969-0160
Mailing Address - Fax:
Practice Address - Street 1:441 RAINBOW CIR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-3274
Practice Address - Country:US
Practice Address - Phone:706-969-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
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