Provider Demographics
NPI:1033220694
Name:MEDLEY, ASHLEE DAWN (PHYSICAL THERAPY)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:DAWN
Last Name:MEDLEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:DAWN
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1657
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES
Mailing Address - City:CHILHOWIE
Mailing Address - State:VA
Mailing Address - Zip Code:24319
Mailing Address - Country:US
Mailing Address - Phone:276-646-8774
Mailing Address - Fax:276-646-5576
Practice Address - Street 1:104 N SANDERS AVE
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES
Practice Address - City:CHILHOWIE
Practice Address - State:VA
Practice Address - Zip Code:24319
Practice Address - Country:US
Practice Address - Phone:276-646-8774
Practice Address - Fax:276-646-5576
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist