Individual
ASHLEY D. FAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11995-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859400079
MEDICARE
WI
01
—
P01113279
RAILROAD MEDICARE
WI
Enumeration date
08/01/2012
Last updated
08/16/2024
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