Individual
ASHTON NANETTE WEDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
124 N ADERHOLT LOOP, CANNON AFB, NM 88103
(575) 904-3506
Mailing address
224 W D.L. INGRAM AVE, BUILDING 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P17340
NC
225100000X
Physical Therapist
Primary
PT-2023-2185
NM
225100000X
Physical Therapist
PT60917645
WA
Other
Enumeration date
10/10/2017
Last updated
03/21/2024
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