Provider Demographics
NPI:1740928944
Name:KNECHT, ASHLEY DREW (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DREW
Last Name:KNECHT
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5465 SW WESTERN AVE STE H
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-4179
Mailing Address - Country:US
Mailing Address - Phone:503-636-3028
Mailing Address - Fax:
Practice Address - Street 1:5465 SW WESTERN AVE STE H
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4179
Practice Address - Country:US
Practice Address - Phone:503-610-9281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR64507225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist