Provider Demographics
NPI:1053420711
Name:WOODS, ELISABETH AINSLIE (PT)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:AINSLIE
Last Name:WOODS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:AINSLIE
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:709 WALES WAY
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1261
Mailing Address - Country:US
Mailing Address - Phone:314-249-5885
Mailing Address - Fax:
Practice Address - Street 1:300 ASHCAKE RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2332
Practice Address - Country:US
Practice Address - Phone:804-330-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO217671509Medicare ID - Type Unspecified