Provider Demographics
NPI:1831780709
Name:KONEK, ASHLEY N (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:KONEK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:N
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7000 OLD STATION RD APT 7107
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-1824
Mailing Address - Country:US
Mailing Address - Phone:724-944-3073
Mailing Address - Fax:
Practice Address - Street 1:2419 STATE AVE STE 100
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2233
Practice Address - Country:US
Practice Address - Phone:412-625-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT029060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist