Healthcare Provider Details

I. General information

NPI: 1679497093
Provider Name (Legal Business Name): ASHLEIGH BOLTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 N PADGETT ST
MORGANFIELD KY
42437-1203
US

IV. Provider business mailing address

257 N PADGETT ST
MORGANFIELD KY
42437-1203
US

V. Phone/Fax

Practice location:
  • Phone: 270-873-4685
  • Fax: 270-873-4684
Mailing address:
  • Phone: 270-873-4685
  • Fax: 270-873-4684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009579
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: