Healthcare Provider Details

I. General information

NPI: 1700291994
Provider Name (Legal Business Name): ASHLEY NICOLE WRIGHT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 DUBLIN RD
COLUMBUS OH
43215-1084
US

IV. Provider business mailing address

1391 DUBLIN RD
COLUMBUS OH
43215-1084
US

V. Phone/Fax

Practice location:
  • Phone: 614-478-9715
  • Fax:
Mailing address:
  • Phone: 614-478-9715
  • Fax: 630-928-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.014774
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: