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Mrs. Larissa Mae Ashwell
Mastectomy Fitter in Chippewa Falls, Wisconsin
NPI 1568989069

Larissa Mae Ashwell is a Mastectomy Fitter based in Chippewa Falls, WI. Larissa Mae Ashwell practices in Chippewa Falls, WI. The NPI Number for Larissa Mae Ashwell is 1568989069 and holds a License No. (Wisconsin).

The current practice location address for Larissa Mae Ashwell is 101 N Bridge St Ste 1, Chippewa Falls, WI and can be reached out via phone at 715-226-0775.

Location: 101 N Bridge St Ste 1, Chippewa Falls, WI, 54729-3120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568989069
Provider Name
Larissa Mae Ashwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 N Bridge St Ste 1, Chippewa Falls, WI, 54729-3120
Phone Number
715-226-0775
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-2373409 05 WI
institution
Provider Business Practice Location Address Details
Address
101 N Bridge St Ste 1
City
Chippewa Falls
State
Wisconsin
Zip
54729-2483
Phone Number
715-226-0775
Fax Number
person
Provider Business Mailing Address Details
Address
101 N Bridge St Ste 1
City
Chippewa Falls
State
Wisconsin
Zip
54729-2483
Phone Number
715-226-0775
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
(Wisconsin)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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