Doctor Name: | DR. ASHLEY NICOLE SUMMERS |
NPI Number: | 1003189499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 070.018485 |
Business Practice Address: | 21 S Park Blvd Suite 21 Greenwood, IN - 461438838 |
Business Phone Number: | 3174492104 |
Business Fax Number: | 7654506664 |
Mailing Address: | 700 E Firmin Street, Suite 209 KOKOMO |
State: | IN |
Postal Code: | 469022375 |
Phone Number: | 7654549748 |
Fax Number: | 7654506664 |
NPI Enumeration Date: | 02/15/2012 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 070.018485 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |