Ashlee Wiebe, PT
Individual provider Active NPI Physical Therapist · Ada, MN
NPI 1093368490 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1093368490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2334 (ND)
- Practice address
- 201 9TH St W
Ada, MN 56510-1279 - Phone
- (218) 784-5000
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2334 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2334 | ND | Yes |
Addresses
Primary practice location
201 9TH St W
Ada, MN 56510-1279
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Other providers in Ada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.