Individual
KAYLA ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 782-8183
Mailing address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 782-8183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2181
MN
363A00000X
Physician Assistant
Primary
12737
MN
363AS0400X
Surgical Physician Assistant
12737
MN
Other
Enumeration date
09/26/2014
Last updated
03/09/2020
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