Ashley Kae Fuller | Colorado Springs, CO • PECOS Search

Ashley Kae Fuller

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

104 Pro Rodeo Dr, Suite 110, Colorado Springs, CO 80919-2334

(719) 592-1788 (321) 279-8426

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Kae Fuller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1043752835
Provider Type
Individual
Full Name
Fuller, Ashley Kae
Title
Dr.
Credential
PT, DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
11/9/2016
Last Updated
11/9/2016

Contact Information

Practice Location

104 Pro Rodeo Dr, Suite 110, Colorado Springs, CO 80919-2334

Unlisted Fax

Mailing Location

1020 Robbie Vw, Apt 2122, Colorado Springs, CO 80920-8227

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License PTL.0014436 Colorado