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Ms. Ashley Moore, AESTHETICIAN
Prosthetic/Orthotic Supplier in Mequon, Wisconsin
NPI 1669122529

Ashley Moore is a Prosthetic/Orthotic Supplier based in Mequon, WI. Ashley Moore practices in Mequon, WI and has the professional credentials of AESTHETICIAN. The NPI Number for Ashley Moore is 1669122529 and holds a License No. (Wisconsin).

The current practice location address for Ashley Moore is 10520 N Baehr Rd Ste M, Mequon, WI and can be reached out via phone at 262-416-8385.

Location: 10520 N Baehr Rd Ste M, Mequon, WI, 53092-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669122529
Provider Name
Ashley Moore
Credential
AESTHETICIAN
Provider Entity Type
Individual
Gender
Female
Address
10520 N Baehr Rd Ste M, Mequon, WI, 53092-6701
Phone Number
262-416-8385
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10520 N Baehr Rd Ste M
City
Mequon
State
Wisconsin
Zip
53092-6701
Phone Number
262-416-8385
Fax Number
person
Provider Business Mailing Address Details
Address
10520 N Baehr Rd Ste M
City
Mequon
State
Wisconsin
Zip
53092-6701
Phone Number
262-416-8385
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Wisconsin)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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