Provider Demographics
NPI:1902386246
Name:ASHBY, CLAIRE NOELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NOELLE
Last Name:ASHBY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:N
Other - Last Name:ASHBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6060 VILLAGE BEND DR APT 316
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3737
Mailing Address - Country:US
Mailing Address - Phone:903-277-7502
Mailing Address - Fax:
Practice Address - Street 1:2241 PEGGY LN STE C
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5709
Practice Address - Country:US
Practice Address - Phone:972-272-9643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1301480225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184627531OtherNPPES