ASHLEY KNIGHT DISRUD LMT NPI 1508463167

NPI Information

NPI: 1508463167
Provider Name: ASHLEY KNIGHT DISRUD, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
120 N MAIN ST
OREGON, WI
ZIP 53575
Phone: (608) 515-8125
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Ashley Knight Disrud, LMT is a massage therapist in Oregon, WI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Ashley Knight Disrud, LMT NPI is 1508463167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 N MAIN ST
OREGON, WI
ZIP 53575-405
Phone: (608) 515-8125

The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		13791-146	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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