Doctor Name: | ASHLEY MICHELLE WILLIFORD |
NPI Number: | 1679609838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT2963 |
Business Practice Address: | 3423 E Highland Dr Suite A Jonesboro, AR - 724016404 |
Business Phone Number: | 8703360021 |
Business Fax Number: | 8703360022 |
Mailing Address: | 109 Vine St, BONO |
State: | AR |
Postal Code: | 724169401 |
Phone Number: | 8707611767 |
Fax Number: | 8709315567 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |