Provider Demographics
NPI:1548838386
Name:TOMPA, ASHLEIGH A (DPT)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:A
Last Name:TOMPA
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 1:1800 EVENSTAD WAY
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5404
Mailing Address - Country:US
Mailing Address - Phone:706-341-8051
Mailing Address - Fax:770-727-8629
Practice Address - Street 1:1800 EVENSTAD WAY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5404
Practice Address - Country:US
Practice Address - Phone:706-341-8051
Practice Address - Fax:770-727-8629
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist