Doctor Name: | DR. ASHLEY MATHIS |
NPI Number: | 1093103624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 05011350A |
Business Practice Address: | 1815 E Ireland Rd South Bend, IN - 466142845 |
Business Phone Number: | 5746471700 |
Business Fax Number: | 5742913351 |
Mailing Address: | 710 N Niles Ave, SOUTH BEND |
State: | IN |
Postal Code: | 466171924 |
Phone Number: | 5746471610 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05011350A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |