Provider Demographics
NPI:1558649384
Name:ASHTON, JESSICA MARIE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARIE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6133 BRISTOL PKWY
Mailing Address - Street 2:#200
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6609
Mailing Address - Country:US
Mailing Address - Phone:310-337-7600
Mailing Address - Fax:310-337-7607
Practice Address - Street 1:6133 BRISTOL PKWY
Practice Address - Street 2:#200
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6609
Practice Address - Country:US
Practice Address - Phone:310-337-7600
Practice Address - Fax:310-337-7607
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA38029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist