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Individual

ASHLEY MOEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
611 PEACE ST STE C, LA CROSSE, KS 67548-9587
(785) 514-5555
Mailing address
602 E 5TH ST, LA CROSSE, KS 67548-9525
(620) 923-6001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04980
KS
2251E1200X
Ergonomics Physical Therapist
11-04980
KS
2251G0304X
Geriatric Physical Therapist
11-04980
KS
2251X0800X
Orthopedic Physical Therapist
11-04980
KS

Other

Enumeration date
06/29/2018
Last updated
12/13/2024
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