Provider Demographics
NPI:1225731920
Name:HYATT, ASHLEY WATAMURA (PT, DPT, PHD (C))
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WATAMURA
Last Name:HYATT
Suffix:
Gender:F
Credentials:PT, DPT, PHD (C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3971 LITTLE SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:717-682-9710
Mailing Address - Fax:
Practice Address - Street 1:3971 LITTLE SAVANNAH RD SUITE 113
Practice Address - Street 2:
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-293-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist