Provider Demographics
NPI:1700331337
Name:STUBBS, ASHTON (DPT)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:STUBBS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 SW MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2904
Mailing Address - Country:US
Mailing Address - Phone:816-607-7180
Mailing Address - Fax:816-607-7181
Practice Address - Street 1:1321 SW MARKET ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2904
Practice Address - Country:US
Practice Address - Phone:816-607-7180
Practice Address - Fax:816-607-7181
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016024489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist