Provider Demographics
NPI:1255351847
Name:PLUMMER, ASHLEY W (MS, ATC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:W
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7423
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-0423
Mailing Address - Country:US
Mailing Address - Phone:251-510-3344
Mailing Address - Fax:
Practice Address - Street 1:1316 JASPER STREET
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-0423
Practice Address - Country:US
Practice Address - Phone:251-510-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer