Healthcare Provider Details

I. General information

NPI: 1255300190
Provider Name (Legal Business Name): ASHLAND PHYSICAL THERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N WASHINGTON HWY
ASHLAND VA
23005-1623
US

IV. Provider business mailing address

203 N WASHINGTON HWY
ASHLAND VA
23005-1623
US

V. Phone/Fax

Practice location:
  • Phone: 804-340-1193
  • Fax: 804-340-1930
Mailing address:
  • Phone: 804-798-1112
  • Fax: 804-798-1171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ANTOINETTE FIELDS
Title or Position: OFFICE MANAGER
Credential:
Phone: 804-798-1112