Provider Demographics
NPI:1619629938
Name:CHRISTOPHER, ASHLEY (PT, DPT, NCS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 FATHER CARUSO DR APT 3207
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2178
Mailing Address - Country:US
Mailing Address - Phone:330-328-0563
Mailing Address - Fax:
Practice Address - Street 1:1950 E 89TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2008
Practice Address - Country:US
Practice Address - Phone:216-444-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0180422251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT018042OtherOHIO PT BOARD