Individual
ASHLEY P THEOBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
(864) 234-7815
(864) 234-7846
Mailing address
8 TYLER ST, GREENVILLE, SC 29605-2044
(346) 954-9273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10184
TN
363A00000X
Physician Assistant
Primary
4280
SC
Other
Enumeration date
09/24/2014
Last updated
11/18/2025
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