Provider Demographics
NPI:1932833803
Name:GESS, ASHLEY JANE (PTA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JANE
Last Name:GESS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JANE
Other - Last Name:GORNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:317 TWIN LAKES RD
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-3557
Mailing Address - Country:US
Mailing Address - Phone:724-972-3532
Mailing Address - Fax:
Practice Address - Street 1:2480 S GRANDE BLVD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8902
Practice Address - Country:US
Practice Address - Phone:724-850-4296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant