Healthcare Provider Details

I. General information

NPI: 1417237686
Provider Name (Legal Business Name): ASHLEY M CAMPBELL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST STE 700
NASHVILLE TN
37203-5178
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-5820
  • Fax: 615-284-5819
Mailing address:
  • Phone: 615-329-2294
  • Fax: 615-695-1494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8986
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: