Basic Information
| Provider Information | |||||||||
| NPI: | 1801293980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAGNI | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | KAYE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 135 BUNTON CREEK RD | ||||||||
| Address2: | STE. 303 | ||||||||
| City: | KYLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786405787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122684700 | ||||||||
| FaxNumber: | 5122684703 | ||||||||
| Practice Location | |||||||||
| Address1: | 17325 BELL NORTH DR | ||||||||
| Address2: | STE. 2-B | ||||||||
| City: | SCHERTZ | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781543368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8885904002 | ||||||||
| FaxNumber: | 2105904585 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2014 | ||||||||
| LastUpdateDate: | 08/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1251802 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.