Provider Demographics
NPI:1487440749
Name:CHRISTENSEN, ASHLEY MULLIS (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MULLIS
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:WILSON
Other - Last Name:MULLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:10201 SUMMER HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210
Mailing Address - Country:US
Mailing Address - Phone:980-253-1785
Mailing Address - Fax:
Practice Address - Street 1:10201 SUMMER HOUSE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-7949
Practice Address - Country:US
Practice Address - Phone:980-253-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP9383225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist