Provider Demographics
NPI:1235748278
Name:VESTER, ASHLEA MICHELLE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEA
Middle Name:MICHELLE
Last Name:VESTER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 EASTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-0028
Mailing Address - Country:US
Mailing Address - Phone:910-821-3006
Mailing Address - Fax:
Practice Address - Street 1:1402 HOSPITAL PLAZA DR APT 318
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6654
Practice Address - Country:US
Practice Address - Phone:910-762-1130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA5413225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant