Ashley Lucht, OTR/L

Individual provider Active NPI Occupational Therapist · Waterford, WI

NPI 1306567276 · NPPES record last updated Sep 8, 2022

Key facts

NPI
1306567276
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6878-26 (WI)
Practice address
1701 Sharp Rd
Waterford, WI 53185-5214
Phone
(262) 534-7297
NPI assigned
Sep 8, 2022
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

LicenseStateTypeSpecialty
6878-26WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6878-26 WI Yes

Addresses

Primary practice location

1701 Sharp Rd
Waterford, WI 53185-5214

Mailing address

1701 Sharp Rd
Waterford, WI 53185-5214
Phone (262) 534-7297

Other identifiers

IdentifierTypeStateIssuer
57073OtherBADGE NUMBER

Other providers in Waterford, WI

All providers in Waterford, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.