Provider Demographics
NPI:1285188409
Name:SCHNEIDER, ASHLEY (PT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5560 S UNIVERSITY DR
Mailing Address - Street 2:APT 4203
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5331
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5560 S UNIVERSITY DR
Practice Address - Street 2:APT 4203
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5331
Practice Address - Country:US
Practice Address - Phone:786-251-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31846225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist