Individual
ASHLEY C DETTERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5529
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10222
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40430100
—
WI
Enumeration date
08/30/2006
Last updated
08/12/2016
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