Provider Demographics
NPI:1861850406
Name:ASHDOWN, SUSAN CHRISTINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:CHRISTINE
Last Name:ASHDOWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 N 200 E
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1407
Mailing Address - Country:US
Mailing Address - Phone:801-686-5076
Mailing Address - Fax:
Practice Address - Street 1:2950 N CHURCH ST
Practice Address - Street 2:STE. 102
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-6504
Practice Address - Country:US
Practice Address - Phone:801-547-9462
Practice Address - Fax:801-547-9116
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9634415-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist