Provider Demographics
NPI:1750145835
Name:MCCAIN, ASHLEY B (DPT)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:B
Last Name:MCCAIN
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 1:87 COTTON MILL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-8180
Mailing Address - Country:US
Mailing Address - Phone:662-338-4560
Mailing Address - Fax:
Practice Address - Street 1:87 COTTON MILL RD STE 6
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-8180
Practice Address - Country:US
Practice Address - Phone:662-338-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT52282251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic