Individual
ASHLEY HASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
883 PRINCETON DR, CLERMONT, FL 34711-6757
(334) 718-2805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
10068
CA
225200000X
Physical Therapy Assistant
2092270
TX
225200000X
Physical Therapy Assistant
Primary
21272
FL
225200000X
Physical Therapy Assistant
8628
MA
225200000X
Physical Therapy Assistant
8912
OR
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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