MEDICARE: ASHLEY STANPHILL 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	2024035177	MO

General Provider Information

NPI Number	:	1851119143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY STANPHILL DPT

Provider Business Mailing Address
First Line	:	128 MEADOW HILLS LN
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-7166
Country	:	US
Telephone Number	:	316-650-6651
Fax Number	:

Provider Business Practice Location Address
First Line	:	16914 STATE HIGHWAY 13
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9670
Country	:	US
Telephone Number	:	417-272-3909
Fax Number	:

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

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	09/26/2024

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Directions to “ ASHLEY STANPHILL DPT” Practice Location

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