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NPI Code Detail

MEDICARE: ASHLEY CHRISTOPHER PT, DPT, NCS

MEDICARE: ASHLEY CHRISTOPHER PT, DPT, NCS
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
12251N0400XNeurology Physical TherapistPT018042OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT018042OTHEROHOHIO PT BOARD

General Provider Information

NPI Number : 1619629938
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CHRISTOPHER PT, DPT, NCS
Provider Business Mailing Address
First Line : 6061 FATHER CARUSO DR APT 3207
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2178
Country : US
Telephone Number : 330-328-0563
Fax Number :
Provider Business Practice Location Address
First Line : 1950 E 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2008
Country : US
Telephone Number : 216-444-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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