Provider Demographics
NPI:1124530068
Name:ASHURST, JEFFREY NELSON JR (DPT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:NELSON
Last Name:ASHURST
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4302
Mailing Address - Country:US
Mailing Address - Phone:334-322-5668
Mailing Address - Fax:
Practice Address - Street 1:2229 MORRIS AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4233
Practice Address - Country:US
Practice Address - Phone:205-304-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH8785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist