Provider Demographics
NPI:1649953621
Name:JONAS, ASHLEIGH FAYE (BS, LAT)
Entity type:Individual
Prefix:MISS
First Name:ASHLEIGH
Middle Name:FAYE
Last Name:JONAS
Suffix:
Gender:F
Credentials:BS, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5426 MEADOWCREEK DR UNIT A2056
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5000
Mailing Address - Country:US
Mailing Address - Phone:806-201-5776
Mailing Address - Fax:
Practice Address - Street 1:411 N WASHINGTON AVE STE 5000
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1792
Practice Address - Country:US
Practice Address - Phone:469-265-5200
Practice Address - Fax:717-412-9175
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT94582255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer