Individual
ASHLEY COLVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MENA ST, MENA, AR 71953-3339
(479) 385-1236
(479) 385-5444
Mailing address
605 MENA ST, MENA, AR 71953-3339
(479) 385-1236
(479) 385-5444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4708
AR
Other
Enumeration date
12/07/2021
Last updated
08/26/2024
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