Provider Demographics
NPI:1003354721
Name:ARTZ, ASHLIE (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:ARTZ
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 TRAILSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9691
Mailing Address - Country:US
Mailing Address - Phone:717-405-1223
Mailing Address - Fax:
Practice Address - Street 1:1501 CASHO MILL RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3500
Practice Address - Country:US
Practice Address - Phone:302-453-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0003632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist