Basic Information
| Provider Information | |||||||||
| NPI: | 1720267883 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEROY | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 JANE JACOBS RD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | BLACK MOUNTAIN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287116306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8132107172 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15 JANE JACOBS RD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | BLACK MOUNTAIN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287116306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286698643 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2007 | ||||||||
| LastUpdateDate: | 05/03/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | P12930 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.