Ashley Beyer, LAT
Individual provider Active NPI Athletic Trainer · Fond Du Lac, WI
NPI 1306379433 · NPPES record last updated Apr 5, 2017
Key facts
- NPI
- 1306379433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1709-39 (WI)
- Practice address
- 421 Camelot Dr
Fond Du Lac, WI 54935-8335 - Phone
- (920) 923-7940
- NPI assigned
- Apr 5, 2017
- 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 |
|---|---|---|---|
| 1709-39 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1709-39 | WI | Yes |
Addresses
Primary practice location
421 Camelot Dr
Fond Du Lac, WI 54935-8335
Mailing address
421 Camelot Dr
Fond Du Lac, WI 54935-8335
Other providers in Fond Du Lac, WI
- David C. Beringer
- Morgan Leigh Bernard
- Linda J Bernardin
- Robert Michael Bertram
- Jill Marie Bethe
- Louann L Biddick
- Carolanne Marjorie Bilitz
- Danielle Billmann
- Alicia Birschbach
- Cortney D Birschbach
All providers in Fond Du Lac, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2017. 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.