Individual
ASHTON CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1622 CHURCH AVE SE, JACKSONVILLE, AL 36265-3200
(256) 365-2792
(256) 365-2793
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10615
AL
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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