Ashley Mekell Nousiadis, P.T.A.

Individual provider Active NPI Physical Therapy Assistant · Hartford, KY

NPI 1962666792 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1962666792
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A02319 (KY)
Practice address
1211 Old Main St
Hartford, KY 42347-1619
Phone
(270) 298-5426
Fax
(270) 298-5237
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

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
A02319KYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A02319 KY Yes

Addresses

Primary practice location

1211 Old Main St
Hartford, KY 42347-1619

Mailing address

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-5426

Other names

  • Ashley Mekell Book Former name

Other providers in Hartford, KY

All providers in Hartford, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.