Provider Demographics
NPI:1740644087
Name:ASH, DANIEL (DPT)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:ASH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:MATT
Other - Middle Name:
Other - Last Name:ASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1329 ABRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-1907
Mailing Address - Country:US
Mailing Address - Phone:850-224-8486
Mailing Address - Fax:
Practice Address - Street 1:1329 ABRAHAM ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-1907
Practice Address - Country:US
Practice Address - Phone:850-224-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist