Healthcare Provider Details

I. General information

NPI: 1326909813
Provider Name (Legal Business Name): ASHLEY LAUREN AURIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W WILLIAM CANNON DR STE 215
AUSTIN TX
78749-1533
US

IV. Provider business mailing address

3601 W WILLIAM CANNON DR STE 215
AUSTIN TX
78749-1533
US

V. Phone/Fax

Practice location:
  • Phone: 512-450-1300
  • Fax:
Mailing address:
  • Phone: 512-450-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1407038
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: