Provider Demographics
NPI:1174350292
Name:ASHLEY WERTMAN
Entity type:Organization
Organization Name:ASHLEY WERTMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:JARANKO
Authorized Official - Last Name:WERTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:304-616-0013
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-2000
Mailing Address - Country:US
Mailing Address - Phone:304-616-0013
Mailing Address - Fax:
Practice Address - Street 1:211 W HIGH ST
Practice Address - Street 2:
Practice Address - City:SHEPHERDSTOWN
Practice Address - State:WV
Practice Address - Zip Code:25443-7700
Practice Address - Country:US
Practice Address - Phone:304-616-0013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-14
Last Update Date:2025-01-14
Deactivation Date:2024-12-11
Deactivation Code:
Reactivation Date:2025-01-14
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health