Provider Demographics
NPI:1912773102
Name:MCCORVEY, ASHIA A
Entity Type:Individual
Prefix:
First Name:ASHIA
Middle Name:A
Last Name:MCCORVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7517 NUNDY AVE
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-4901
Mailing Address - Country:US
Mailing Address - Phone:813-407-7708
Mailing Address - Fax:
Practice Address - Street 1:7517 NUNDY AVE
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-4901
Practice Address - Country:US
Practice Address - Phone:813-407-7708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer