Individual
ASHLEY B HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7191 CAHABA VALLEY RD, BIRMINGHAM, AL 35242-6402
(205) 408-6555
(205) 408-6570
Mailing address
7191 CAHABA VALLEY RD, BIRMINGHAM, AL 35242-6402
(205) 408-6555
(205) 408-6570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4306
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051528425HIB
MEDICARE ID-TYPE UNSPECIFIED
AL
01
—
1003819608
GROUP NPI
AL
01
—
515-28425
BCBS PROVIDER NUMBER
AL
05
—
529917620
—
AL
Enumeration date
07/18/2006
Last updated
07/28/2014
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