Individual
ASHLEY MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 TEKE BURTON DR, MITCHELL, IN 47446-7360
(812) 849-2221
Mailing address
1226 STATE ROAD 550, LOOGOOTEE, IN 47553-4754
(812) 849-2221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003405A
IN
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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