Provider Demographics
NPI:1598311540
Name:PRICE, AINSLEY REED (DPT, PT)
Entity Type:Individual
Prefix:
First Name:AINSLEY
Middle Name:REED
Last Name:PRICE
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:AINSLEY
Other - Middle Name:SNOW
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20347 TIMBERLAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7352
Mailing Address - Country:US
Mailing Address - Phone:434-845-9053
Mailing Address - Fax:434-528-2788
Practice Address - Street 1:3 CEDAR HILL CT STE C
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-6457
Practice Address - Country:US
Practice Address - Phone:540-586-1138
Practice Address - Fax:434-509-1695
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist