MEDICARE: ASHLEY NICOLE WOODRUFF 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	1357385	TX

General Provider Information

NPI Number	:	1922752377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE WOODRUFF DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 PRESTON RD STE 2074
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5124
Country	:	US
Telephone Number	:	972-905-6622
Fax Number	:

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

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	03/09/2026

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