Individual
ASHLEY NICHELLE CANADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
755 S 5TH ST, MACCLENNY, FL 32063-2685
(904) 259-4873
Mailing address
755 S 5TH ST, MACCLENNY, FL 32063-2685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32647
FL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
MA51369
FL
Other
Enumeration date
03/14/2012
Last updated
07/13/2024
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