Provider Demographics
NPI:1548542434
Name:CAUGHMAN, ASHLEY ALEXANDER (MSPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ALEXANDER
Last Name:CAUGHMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 SUMMER WALK CT
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-2490
Mailing Address - Country:US
Mailing Address - Phone:803-356-8951
Mailing Address - Fax:
Practice Address - Street 1:249 SUMMER WALK CT
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-2490
Practice Address - Country:US
Practice Address - Phone:803-356-8951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52512251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics