Provider Demographics
NPI:1588191779
Name:WEISS, ASHLEY ANDERSON (DPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANDERSON
Last Name:WEISS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-9355
Mailing Address - Country:US
Mailing Address - Phone:970-618-2180
Mailing Address - Fax:833-315-2654
Practice Address - Street 1:202 E 3RD ST UNIT B
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-2320
Practice Address - Country:US
Practice Address - Phone:970-618-2180
Practice Address - Fax:833-315-2564
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014792225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist