Ashley N Liddell, PTA
Individual provider Active NPI Physical Therapy Assistant · Cornell, WI
NPI 1215564471 · NPPES record last updated Mar 26, 2020
Key facts
- NPI
- 1215564471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2958-19 (WI)
- Practice address
- 320 N 7TH St
Cornell, WI 54732-8120 - Phone
- (715) 239-6288
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2958-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cornell LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2958-19 | WI | Yes |
Addresses
Primary practice location
320 N 7TH St
Cornell, WI 54732-8120
Mailing address
320 N 7TH St
Cornell, WI 54732-8120
Phone (715) 239-6288
Other providers in Cornell, WI
- Kendra Hintz
- Katina Hodgson
- Kerry L Kowalski
- Lakeland Physical Therapy L.L.C.
- James Ward Lane
- Angela Kay Lueck
- Marshfield Clinic, Inc.
- MCHS Hospitals Inc
- Olivia Meinholz
- Kelsey Lee Meyer
All providers in Cornell, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2020. 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.