Provider Demographics
NPI:1205450566
Name:COOPER, ASHLEY N (DPT)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:N
Last Name:COOPER
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 MEMORIAL PKWY SW STE 5
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5035
Mailing Address - Country:US
Mailing Address - Phone:256-536-9033
Mailing Address - Fax:
Practice Address - Street 1:2806 MEMORIAL PARKWAY SW
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-319-6515
Practice Address - Fax:256-319-6516
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist