Healthcare Provider Details

I. General information

NPI: 1992792782
Provider Name (Legal Business Name): ASHLEY ESKIND PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 RUE BEAUREGARD STE. E
LAFAYETTE LA
70508-3284
US

IV. Provider business mailing address

218 RUE BEAUREGARD STE. E
LAFAYETTE LA
70508-3284
US

V. Phone/Fax

Practice location:
  • Phone: 337-261-5151
  • Fax:
Mailing address:
  • Phone: 337-261-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6414
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: