Provider Demographics
NPI:1629375548
Name:PITTMAN, ASHLEY (DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 54TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7434
Mailing Address - Country:US
Mailing Address - Phone:253-244-3465
Mailing Address - Fax:318-302-0140
Practice Address - Street 1:5727 BAKER WAY NW
Practice Address - Street 2:STE 203
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-5811
Practice Address - Country:US
Practice Address - Phone:336-626-3700
Practice Address - Fax:336-626-4100
Is Sole Proprietor?:No
Enumeration Date:2011-02-13
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT-61001433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ38504AMedicare PIN