Ashley Weidholz
Individual provider Active NPI Massage Therapist · Isle, MN
NPI 1699669663 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1699669663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 3053 Vista Rd
Isle, MN 56342-9666 - Phone
- (763) 219-2890
- NPI assigned
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MN | Yes |
Addresses
Primary practice location
3053 Vista Rd
Isle, MN 56342-9666
Mailing address
3053 Vista Rd
Isle, MN 56342-9666
Other providers in Isle, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. 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.