Provider Demographics
NPI:1649947094
Name:CHAFIN, ASHLEY L (PT, DPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:CHAFIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EXECUTIVE PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5390
Mailing Address - Country:US
Mailing Address - Phone:910-423-5550
Mailing Address - Fax:910-423-5552
Practice Address - Street 1:2959 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-3697
Practice Address - Country:US
Practice Address - Phone:910-423-5550
Practice Address - Fax:910-423-5552
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015494225100000X
NCCP033153T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist