Provider Demographics
NPI:1629352653
Name:SMITH, ASHLEY KATE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KATE
Last Name:SMITH
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 1:113-4 FOUNDERS WAY
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-3769
Mailing Address - Country:US
Mailing Address - Phone:540-465-3883
Mailing Address - Fax:540-465-3391
Practice Address - Street 1:113-4 FOUNDERS WAY
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3769
Practice Address - Country:US
Practice Address - Phone:540-465-3883
Practice Address - Fax:540-465-3391
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207130225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist