=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912343427
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MORGAN ASHLEY SHEPLER DPT, PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2013
-----------------------------------------------------
Last Update Date | 05/12/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 138 MAIN ST
-----------------------------------------------------
City | TROUTVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15866-5009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-590-7055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 138 MAIN ST
-----------------------------------------------------
City | TROUTVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15866-5009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-590-7055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT022264
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------