Doctor Name: | ASHLEY CARPENTER |
NPI Number: | 1356690150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 05010987A |
Business Practice Address: | 100 Navarre Pl Suite 6650 South Bend, IN - 466011156 |
Business Phone Number: | 5746475007 |
Business Fax Number: | |
Mailing Address: | 908 W Donaldson Ave, MISHAWAKA |
State: | IN |
Postal Code: | 465455716 |
Phone Number: | 5746473158 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2012 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05010987A |
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 |