Provider Demographics
NPI:1699098392
Name:MORTON, ASHLEY OLIVER (CPED, RPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:OLIVER
Last Name:MORTON
Suffix:
Gender:M
Credentials:CPED, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 OLEANDER DR STE E
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6714
Mailing Address - Country:US
Mailing Address - Phone:910-395-5775
Mailing Address - Fax:910-395-5773
Practice Address - Street 1:3909 OLEANDER DR STE E
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6714
Practice Address - Country:US
Practice Address - Phone:910-395-5775
Practice Address - Fax:910-395-5773
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter