Provider Demographics
NPI:1598202178
Name:SAUNDERS, ASHLEY CORINNE (ATC, PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CORINNE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:ATC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10054 ALAFIA PRESERVE AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4622
Mailing Address - Country:US
Mailing Address - Phone:317-847-3088
Mailing Address - Fax:
Practice Address - Street 1:10054 ALAFIA PRESERVE AVE APT 103
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4622
Practice Address - Country:US
Practice Address - Phone:317-847-3088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer