NPI 1124784806

Ashley Berry

Practitioner Physical Therapy Assistant Godfrey, IL

Practice location

Address: 812 Airport Rd, Godfrey, IL 62035-2920
Phone: (618) 972-2079
Mailing address: 6624 Golden Raintree, Edwardsville, IL 62025-5166

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160007881 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1124784806
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2021
Record last updated: 22 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.