Provider Demographics
NPI:1306047691
Name:JONES, ASHANTI MARIE FRANKLIN (PT)
Entity type:Individual
Prefix:MRS
First Name:ASHANTI
Middle Name:MARIE FRANKLIN
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ASHANTI
Other - Middle Name:MARIE
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:214 MONARCH DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-7378
Mailing Address - Country:US
Mailing Address - Phone:318-547-0337
Mailing Address - Fax:
Practice Address - Street 1:7855 HOWELL BLVD.
Practice Address - Street 2:SUITE 220
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807
Practice Address - Country:US
Practice Address - Phone:225-454-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist