Elizabeth Anne Ashley

Individual provider Active NPI Physical Therapy Assistant · Overland Park, KS

NPI 1497399406 · NPPES record last updated Nov 1, 2019

Key facts

NPI
1497399406
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-03212 (KS)
Practice address
10600 Mastin St
Overland Park, KS 66212-5723
Phone
(913) 681-0606
NPI assigned
Nov 1, 2019
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
14-03212KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
225200000X 14-03212 KS Yes

Addresses

Primary practice location

10600 Mastin St
Overland Park, KS 66212-5723

Mailing address

5102 Foxridge Dr Apt 1B
Overland Park, KS 66202-1547
Phone (913) 713-3359

Other providers in Overland Park, KS

All providers in Overland Park, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.