Provider Demographics
NPI:1245603430
Name:CRAWLEY, ASHLEY SHARICE JENKINS (PT, DPT, CCI)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SHARICE JENKINS
Last Name:CRAWLEY
Suffix:
Gender:F
Credentials:PT, DPT, CCI
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:SHARICE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CCI
Mailing Address - Street 1:1500 TACKLEY PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3221
Mailing Address - Country:US
Mailing Address - Phone:843-817-8799
Mailing Address - Fax:
Practice Address - Street 1:1500 TACKLEY PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3221
Practice Address - Country:US
Practice Address - Phone:843-817-8799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist