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NPI Code Detail

MEDICARE: ASHLEY BARTEK PT, DPT

MEDICARE:   ASHLEY  BARTEK  PT,  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist3119233TX

General Provider Information

NPI Number : 1104274570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BARTEK PT, DPT
Provider Business Mailing Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-780-9658
Fax Number : 254-780-9663
Provider Business Practice Location Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-780-9658
Fax Number : 254-780-9663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 10/03/2018

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Directions to “ ASHLEY BARTEK PT, DPT” Practice Location

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