Doctor Name: | ASHLEY M SOUTH |
NPI Number: | 1770802092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | MT005132 |
Business Practice Address: | 1835 Savoy Dr Suite 100 Atlanta, GA - 303411072 |
Business Phone Number: | 6782989484 |
Business Fax Number: | 6788264033 |
Mailing Address: | 1835 Savoy Dr, Suite 100 ATLANTA |
State: | GA |
Postal Code: | 303411072 |
Phone Number: | 6782989484 |
Fax Number: | 6788264033 |
NPI Enumeration Date: | 05/26/2010 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT005132 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |