Individual
ASHLEY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
910 NW 16TH ST, SUITE 200, FRUITLAND, ID 83619-2265
(208) 452-8060
Mailing address
1059 W PINE AVE, APT 4, MERIDIAN, ID 83642-8324
(315) 283-6502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4701
ID
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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