Provider Demographics
NPI:1801171046
Name:BOOK, ASHLEY L (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:BOOK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 FM 2133
Mailing Address - Street 2:
Mailing Address - City:ROWENA
Mailing Address - State:TX
Mailing Address - Zip Code:76875-3506
Mailing Address - Country:US
Mailing Address - Phone:325-245-7082
Mailing Address - Fax:
Practice Address - Street 1:302 N 8TH ST
Practice Address - Street 2:
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-4708
Practice Address - Country:US
Practice Address - Phone:325-365-2548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12047332251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics