Provider Demographics
NPI:1659164564
Name:CARSON, HARLEY ABIGAIL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HARLEY
Middle Name:ABIGAIL
Last Name:CARSON
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 1:311 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2223
Mailing Address - Country:US
Mailing Address - Phone:256-609-6946
Mailing Address - Fax:256-912-0460
Practice Address - Street 1:311 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2223
Practice Address - Country:US
Practice Address - Phone:256-609-6946
Practice Address - Fax:256-912-0460
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH12260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist