MEDICARE: ASHLEY JOY KING PT, 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	28743	MD

General Provider Information

NPI Number	:	1982360764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY JOY KING PT, DPT

Provider Business Mailing Address
First Line	:	2535 BEAR DEN RD
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-5231
Country	:	US
Telephone Number	:	336-944-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	7450 NEW TECHNOLOGY WAY STE C
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-8446
Country	:	US
Telephone Number	:	410-989-3833
Fax Number	:

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

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	02/02/2023

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