Healthcare Provider Details

I. General information

NPI: 1124982517
Provider Name (Legal Business Name): ASHLEY ANDERSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W PARK CIR STE A
NORTH WILKESBORO NC
28659-3583
US

IV. Provider business mailing address

114 MOUNT PLEASANT RD
FERGUSON NC
28624-9024
US

V. Phone/Fax

Practice location:
  • Phone: 336-281-9188
  • Fax:
Mailing address:
  • Phone: 828-964-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24533
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: