ASHLEY BROADNAX
NPI 1336095181
Massage Therapist in Matteson, IL

Active since March 05, 2026
4747 LINCOLN MALL DR STE 600, MATTESON, IL 60443(312) 622-7975 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashley Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY BROADNAX (NPI 1336095181) is an individual massage therapist in Matteson, Illinois and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1336095181
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameASHLEY BROADNAX
Location Address4747 LINCOLN MALL DR STE 600Matteson, IL 60443-3817
Mailing Address4747 Lincoln Mall Dr Ste 600Matteson, IL 60443-3817 · (312) 622-7975
Sole ProprietorYes
Enumeration DateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
NPI 1336095181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
4747 LINCOLN MALL DR STE 600, Matteson, IL 60443

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
4747 LINCOLN MALL DR STE 600
MATTESON, IL 60443
Counselor (Mental Health)
4747 LINCOLN MALL DR STE 600
MATTESON, IL 60443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Broadnax's NPI number?

The NPI number for Ashley Broadnax is 1336095181. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Where is Ashley Broadnax located?

Ashley Broadnax practices at 4747 Lincoln Mall Dr Ste 600, Matteson, IL 60443. The listed phone number is (312) 622-7975.

What is Ashley Broadnax's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ashley Broadnax was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.