Individual
ASHLEY NICOLE HETTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
360 S MOUNTIN DR, MAYVILLE, WI 53050-1498
(920) 387-7560
Mailing address
W310S196 MAPLE AVE, WAUKESHA, WI 53188-9340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14842
WI
Other
Enumeration date
08/26/2019
Last updated
08/25/2025
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