Provider Demographics
NPI:1760796924
Name:STADLER, ASHLEY KLOEPPEL (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KLOEPPEL
Last Name:STADLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:DANIELLE
Other - Last Name:KLOEPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:20516 E CARRIAGE WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-3681
Mailing Address - Country:US
Mailing Address - Phone:505-319-3471
Mailing Address - Fax:
Practice Address - Street 1:20851 E RITTENHOUSE RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4493
Practice Address - Country:US
Practice Address - Phone:480-677-3294
Practice Address - Fax:480-677-4655
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8989225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist