Provider Demographics
NPI:1851548853
Name:LEFEBVRE, ASHLEY GAYLE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:GAYLE
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:GAYLE
Other - Last Name:HAWKINS-LEFEBVRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:12822 SE 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-6599
Mailing Address - Country:US
Mailing Address - Phone:405-464-0050
Mailing Address - Fax:
Practice Address - Street 1:6904 E RENO AVE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2152
Practice Address - Country:US
Practice Address - Phone:405-609-3675
Practice Address - Fax:800-506-3795
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4116225100000X
OKPT4116225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist