Provider Demographics
NPI:1215464193
Name:ELFRINK, ASHTON
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:ELFRINK
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 1:528 COUNTY HIGHWAY 210
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63780-9247
Mailing Address - Country:US
Mailing Address - Phone:573-837-7019
Mailing Address - Fax:
Practice Address - Street 1:528 CO HWY 210
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:MO
Practice Address - Zip Code:63780
Practice Address - Country:US
Practice Address - Phone:573-837-7019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant