Provider Demographics
NPI:1245028190
Name:CARVER, ALEXANDERIA NICHOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDERIA
Middle Name:NICHOLE
Last Name:CARVER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PROVIDENCE HILL DR APT 102
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2292
Mailing Address - Country:US
Mailing Address - Phone:606-585-2445
Mailing Address - Fax:
Practice Address - Street 1:209 PROVIDENCE HILL DR APT 102
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2292
Practice Address - Country:US
Practice Address - Phone:606-585-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009062225100000X
WV004766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist