Provider Demographics
NPI:1689017022
Name:CARPENTER, ASHLEY RAE (DPT)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:RAE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:900 CIRCLE 75 PKWY SE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3035
Mailing Address - Country:US
Mailing Address - Phone:770-953-6929
Mailing Address - Fax:770-953-6972
Practice Address - Street 1:3672 MARATHON CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-6821
Practice Address - Country:US
Practice Address - Phone:678-945-8525
Practice Address - Fax:770-941-8647
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2015-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT010809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist