Provider Demographics
NPI:1164088498
Name:RICHEY, ASHLEY MARIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:RICHEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 GREENS PRAIRIE RD W STE 100
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8794
Mailing Address - Country:US
Mailing Address - Phone:979-690-2478
Mailing Address - Fax:979-690-2402
Practice Address - Street 1:1451 GREENS PRAIRIE RD W STE 100
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8794
Practice Address - Country:US
Practice Address - Phone:979-690-2478
Practice Address - Fax:979-690-2402
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1317752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1317752OtherECPTOTE