MEDICARE: ASHLEIGH BLUE

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	16705	TN

General Provider Information

NPI Number	:	1407727613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH BLUE

Provider Business Mailing Address
First Line	:	7135 CHARLOTTE PIKE STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7135 CHARLOTTE PIKE STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5017
Country	:	US
Telephone Number	:	615-540-8334
Fax Number	:

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “ ASHLEIGH BLUE ” Practice Location

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