Provider Demographics
NPI:1386076057
Name:LANSANG, ASHLEE CHRISTINE (PT, DPT)
Entity type:Individual
Prefix:MISS
First Name:ASHLEE
Middle Name:CHRISTINE
Last Name:LANSANG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 B ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6212
Mailing Address - Country:US
Mailing Address - Phone:307-389-8661
Mailing Address - Fax:
Practice Address - Street 1:501 CENTER ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5105
Practice Address - Country:US
Practice Address - Phone:307-382-8661
Practice Address - Fax:307-382-8662
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist