MEDICARE: ASHLYN KAY DODSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	122559	TX

General Provider Information

NPI Number	:	1043192453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLYN KAY DODSON

Provider Business Mailing Address
First Line	:	104 COUNTRY ESTATE DR
Second Line	:
City	:	ATLANTA
State	:	TX
Zip	:	75551-3202
Country	:	US
Telephone Number	:	93-826-7648
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 W MAIN ST
Second Line	:
City	:	ATLANTA
State	:	TX
Zip	:	75551-2519
Country	:	US
Telephone Number	:	903-796-4194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “ ASHLYN KAY DODSON ” Practice Location

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