Provider Demographics
NPI:1154749489
Name:MASIH, ASHLEY ANNE (MSPT)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:ANNE
Last Name:MASIH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANNE
Other - Last Name:YODER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 ALEXANDER LN
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-2429
Mailing Address - Country:US
Mailing Address - Phone:774-230-6385
Mailing Address - Fax:
Practice Address - Street 1:11 ALEXANDER LN
Practice Address - Street 2:
Practice Address - City:SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06078-2429
Practice Address - Country:US
Practice Address - Phone:774-230-6385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18765225100000X
SC7242225100000X
NC14654225100000X
CT009606225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist