Provider Demographics
NPI:1740714922
Name:HARPER, ASHLEY (ATC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N SECOND ST
Mailing Address - Street 2:APT A
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23664-1408
Mailing Address - Country:US
Mailing Address - Phone:336-803-1597
Mailing Address - Fax:
Practice Address - Street 1:101 HOLLAND HL
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23668-0001
Practice Address - Country:US
Practice Address - Phone:757-727-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260026332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer