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NPI Code Detail

MEDICARE: ASHLEY DICKINSON

MEDICARE: ASHLEY DICKINSON
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
1225100000XPhysical TherapistPTH12327AL

General Provider Information

NPI Number : 1285522177
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DICKINSON
Provider Business Mailing Address
First Line : 42465 HIGHWAY 195
Second Line :
City : HALEYVILLE
State : AL
Zip : 35565-7052
Country : US
Telephone Number : 256-350-1764
Fax Number :
Provider Business Practice Location Address
First Line : 7242 BAILEY COVE RD SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-2746
Country : US
Telephone Number : 256-704-2434
Fax Number : 256-801-9670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 06/27/2025

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Directions to “ ASHLEY DICKINSON ” Practice Location

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