Individual
ASHLEY MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 SWEETWATER LN, GRAYSON, KY 41143-1748
(606) 923-2853
Mailing address
280 SWEETWATER LN, GRAYSON, KY 41143-1748
(606) 923-2853
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
KY
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404474144
—
KY
Enumeration date
12/26/2018
Last updated
12/26/2018
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