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Individual
KELLY D ASHBECK
Active
Individual
KELLY D ASHBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10992
WI STATE LICENSE
WI
Enumeration date
10/07/2008
Last updated
10/07/2008
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