Provider Demographics
NPI:1528278538
Name:LAGASSE, ASHLEY (MM, MT-BC, NMT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:LAGASSE
Suffix:
Gender:F
Credentials:MM, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 W 20TH TER
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-2545
Mailing Address - Country:US
Mailing Address - Phone:785-856-1003
Mailing Address - Fax:
Practice Address - Street 1:1703 W 20TH TER
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-2545
Practice Address - Country:US
Practice Address - Phone:785-856-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist