MEDICARE: ASP THERAPY SERVICES, LLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1891518981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASP THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	432 WHIPPOORWILL RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3016
Country	:	US
Telephone Number	:	229-854-1978
Fax Number	:	888-515-6198

Provider Business Practice Location Address
First Line	:	432 WHIPPOORWILL RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3016
Country	:	US
Telephone Number	:	229-854-1978
Fax Number	:	888-515-6198

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA S POTTER
Credential	:
Telephone Number	:	229-854-1978

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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Directions to “ASP THERAPY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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