Provider Demographics
NPI:1417684804
Name:RUIZ, ASHLEY K (LMT, CLT)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:K
Last Name:RUIZ
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3491
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80155-3491
Mailing Address - Country:US
Mailing Address - Phone:303-916-3514
Mailing Address - Fax:
Practice Address - Street 1:6053 S QUEBEC ST STE 201
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4505
Practice Address - Country:US
Practice Address - Phone:303-916-3514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.002.0022225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist