Ashlie Lee, PTA

Individual provider Active NPI Physical Therapy Assistant · Oakland, IL

NPI 1457769804 · NPPES record last updated Jul 29, 2014

Key facts

NPI
1457769804
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
160.005443 (IL)
Practice address
202 N Jonathan St
Oakland, IL 61943-7215
Phone
(217) 515-0252
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
160.005443ILMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.005443 IL Yes

Addresses

Primary practice location

202 N Jonathan St
Oakland, IL 61943-7215

Mailing address

202 N Jonathan St
Oakland, IL 61943-7215
Phone (217) 515-0252

Other providers in Oakland, IL

All providers in Oakland, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.