MEDICARE: ASHANTI NATASHA GARRISON MARSHALL 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
1	225100000X	Physical Therapist	10572	NC

General Provider Information

NPI Number	:	1740307966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHANTI NATASHA GARRISON MARSHALL DPT

Provider Business Mailing Address
First Line	:	4008 MENDENHALL PWKY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4008 MENDENHALL PWKY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3876
Country	:	US
Telephone Number	:	336-697-6150
Fax Number	:	336-659-0783

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	12/10/2021

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