Individual
ASHLEY GROUT HENNESSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
150 MARINER HEALTH WAY, SAINT AUGUSTINE, FL 32086-3215
(904) 584-1827
Mailing address
150 MARINER HEALTH WAY, SAINT AUGUSTINE, FL 32086-3215
(904) 584-1827
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27860
FL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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