Provider Demographics
NPI:1912467275
Name:VILLM, ASHLEY (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:VILLM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 WARRENTON CT NW
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2199
Mailing Address - Country:US
Mailing Address - Phone:360-701-2243
Mailing Address - Fax:
Practice Address - Street 1:9600 NO 5 SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:ASH
Practice Address - State:NC
Practice Address - Zip Code:28420-2122
Practice Address - Country:US
Practice Address - Phone:910-287-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist