Provider Demographics
NPI:1447716907
Name:KIRKPATRICK, ASHTON MEDLIN (DPT)
Entity type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:MEDLIN
Last Name:KIRKPATRICK
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ASHTON
Other - Last Name:MEDLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:907 HOUSTON NORTHCUTT BLVD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3448
Mailing Address - Country:US
Mailing Address - Phone:843-856-0351
Mailing Address - Fax:843-856-0354
Practice Address - Street 1:907 HOUSTON NORTHCUTT BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3448
Practice Address - Country:US
Practice Address - Phone:843-856-0351
Practice Address - Fax:843-856-0354
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist