Individual
ASHLEY NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 IVEY RD NW, ACWORTH, GA 30101-4001
(770) 917-0924
Mailing address
234 BENTWATER DR, ACWORTH, GA 30101-8563
(404) 414-2898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2015
Last updated
04/13/2021
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