MEDICARE: ASHTIN HOSKINS

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
1	225100000X	Physical Therapist	4503	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316412471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHTIN HOSKINS

Provider Business Mailing Address
First Line	:	10014 N RODNEY PARHAM RD STE 103
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-5598
Country	:	US
Telephone Number	:	501-224-5454
Fax Number	:	501-224-5460

Provider Business Practice Location Address
First Line	:	2504 MCCAIN BLVD STE 230
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7607
Country	:	US
Telephone Number	:	501-758-5555
Fax Number	:	501-758-5941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	10/04/2018

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Directions to “ ASHTIN HOSKINS ” Practice Location

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