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Individual

MRS. ASHLEY NICOLE CASTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Mailing address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005488
KY
225100000X
Physical Therapist
Primary
PT 012697
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000645700
ANTHEM BLUE CROSS
OH
01
P00770258
MEDICARE RR
OH
Enumeration date
10/05/2009
Last updated
06/10/2015
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