Provider Demographics
NPI:1366655508
Name:THORNTON, JOSEPH ASHLEY (PT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ASHLEY
Last Name:THORNTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 TALLANT DR
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-7249
Mailing Address - Country:US
Mailing Address - Phone:334-361-4522
Mailing Address - Fax:
Practice Address - Street 1:300 INTERSTATE PARK DR
Practice Address - Street 2:SUITE 324
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5427
Practice Address - Country:US
Practice Address - Phone:334-272-0313
Practice Address - Fax:334-272-0448
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1466225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5134917OtherDRIVER LICENCE