Provider Demographics
NPI:1497420285
Name:PIERCE, ASHLEY MAKAYLA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MAKAYLA
Last Name:PIERCE
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 1:800 MOUNT VERNON HWY NE STE 160
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4294
Mailing Address - Country:US
Mailing Address - Phone:770-709-5519
Mailing Address - Fax:
Practice Address - Street 1:800 MOUNT VERNON HWY NE STE 160
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4294
Practice Address - Country:US
Practice Address - Phone:770-709-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist