Healthcare Provider Details

I. General information

NPI: 1801293980
Provider Name (Legal Business Name): ASHLEY KAYE STAGNI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 08/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17325 BELL NORTH DR STE. 2-B
SCHERTZ TX
78154-3368
US

IV. Provider business mailing address

135 BUNTON CREEK RD STE. 303
KYLE TX
78640-5787
US

V. Phone/Fax

Practice location:
  • Phone: 888-590-4002
  • Fax: 210-590-4585
Mailing address:
  • Phone: 512-268-4700
  • Fax: 512-268-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1251802
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: