Provider Demographics
NPI:1033734322
Name:KLEIN-PAISLEY, ASHLEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KLEIN-PAISLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1011 N 18TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-1117
Mailing Address - Country:US
Mailing Address - Phone:641-856-2515
Mailing Address - Fax:641-856-2516
Practice Address - Street 1:1011 N 18TH ST STE A
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-1117
Practice Address - Country:US
Practice Address - Phone:641-856-2515
Practice Address - Fax:641-856-2516
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA100234208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation