Individual
RANDY ASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 KESWICK ST APT 6, BOSTON, MA 02215-3736
(914) 715-8034
Mailing address
15 KESWICK ST APT 6, BOSTON, MA 02215-3736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3301
MA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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