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Individual

ASHLEY E KIRNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
14660 HERRIMAN BLVD STE 300, NOBLESVILLE, IN 46060-4869
(317) 774-7744
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012412A
IN
225100000X
Physical Therapist
070021565
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05012412A
LICENSE
IN
Enumeration date
08/13/2015
Last updated
11/16/2017
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