Individual
KELLY D ASHBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481-3114
(715) 346-5190
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481-3114
(715) 346-5190
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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