Provider Demographics
NPI:1407563976
Name:SANFORD, ASHLEY LEMAY (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEMAY
Last Name:SANFORD
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 HARRISON LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4433
Mailing Address - Country:US
Mailing Address - Phone:540-533-5279
Mailing Address - Fax:
Practice Address - Street 1:322 N BUCKMARSH ST STE A
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-1024
Practice Address - Country:US
Practice Address - Phone:540-955-1837
Practice Address - Fax:540-955-1838
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215458208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation