Doctor Name: | PAUL THOMAS ASHLEY |
NPI Number: | 1063769271 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATHLETIC TRAINER CER |
License Number: | AL3168 |
Business Practice Address: | 6120 Us Highway 27 N Sebring, FL - 33870 |
Business Phone Number: | 8634711223 |
Business Fax Number: | |
Mailing Address: | 6120 Us Highway 27 N, SEBRING |
State: | FL |
Postal Code: | 33870 |
Phone Number: | 8634711223 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | AL3168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |