Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ASHLEY KNIGHT DISRUD, LMT
Active Sole ProprietorASHLEY KNIGHT DISRUD, LMT is a Massage Therapist healthcare provider located in OREGON, Wisconsin. NPI 1508463167 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · OREGON, WI
Registration Details
- NPI Number
- 1508463167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2020 (5.8254642655599 yrs)
- Last Updated
- Oct 7, 2020
- License
-
13791-146 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 N MAIN STOREGON, WI, 535751405Browse WI providers · Browse ZIP 53575
- Phone
- 6085158125
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.