Provider Demographics
NPI:1689049009
Name:KANE, ASHLEY WARE (PT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WARE
Last Name:KANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:ASHLEY
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:107 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2341
Mailing Address - Country:US
Mailing Address - Phone:540-332-5935
Mailing Address - Fax:540-332-5945
Practice Address - Street 1:107 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2341
Practice Address - Country:US
Practice Address - Phone:540-332-5935
Practice Address - Fax:540-332-5945
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052024222251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic