Individual
KELLY ELIZABETH ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
105 E BACON ST, PEMBROKE, GA 31321-4750
(912) 653-0040
Mailing address
128 MADISON ST, PEMBROKE, GA 31321-7508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
GA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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