Individual
MS. ASHLEY ANN ROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1349 NW 121ST ST STE 100, CLIVE, IA 50325-8145
(515) 720-7754
Mailing address
1349 NW 121ST ST STE 100, CLIVE, IA 50325-8145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006552
IA
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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