Healthcare Provider Details

I. General information

NPI: 1649669110
Provider Name (Legal Business Name): TOWN PARK PHYSICAL THERAPY & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 W MAIN ST STE 9
ASHLAND OH
44805-2220
US

IV. Provider business mailing address

19 W MAIN ST STE 9
ASHLAND OH
44805-2220
US

V. Phone/Fax

Practice location:
  • Phone: 234-274-4681
  • Fax: 234-274-4614
Mailing address:
  • Phone: 419-961-4430
  • Fax: 234-274-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATE M CHAFFINS
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 419-961-4430