Healthcare Provider Details

I. General information

NPI: 1467789800
Provider Name (Legal Business Name): ASHLEY P JOINER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY DIANNE PIKE PT, DPT

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HIGHWATER PASS
CANTON GA
30114-6543
US

IV. Provider business mailing address

500 HIGHWATER PASS
CANTON GA
30114-6543
US

V. Phone/Fax

Practice location:
  • Phone: 678-395-1159
  • Fax:
Mailing address:
  • Phone: 678-395-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT009803
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: