DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ASHLEY SHAVON WICKWIRE, LMT

Active Sole Proprietor

MRS. ASHLEY SHAVON WICKWIRE, LMT is a Contractor healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1164799649 is currently active in the NPPES registry. Verify at CMS.

Contractor · ALBUQUERQUE, NM

Registration Details

NPI Number
1164799649
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2011 (14.731290462416 yrs)
Last Updated
Nov 28, 2011
License
7130 (NM)
Sole Proprietor
Yes

Practice Information

Address
10905 CLAREMONT AVE NE
ALBUQUERQUE, NM, 871121606
Browse NM providers · Browse ZIP 87112
Phone
5057120122
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in ALBUQUERQUE, NM

Name Credential NPI
MR. MARTIN D BINDER ATC 1104842525
RITA WORMWOOD 1891843264
CHERYL L KIRK-MCMULLEN OTR 1932234085
DONNA A KOTILAINEN P.T. 1538281720
MS. TAMARA ROSE MARTINEZ LMT 1013122290
KURT SIMMONS 1407062938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.