Ashley Fennig

Individual provider Active NPI Occupational Therapy Assistant · Bluffton, IN

NPI 1730344375 · NPPES record last updated Jul 23, 2008

Key facts

NPI
1730344375
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
99031690A (IN)
Practice address
377 S 500 E
Bluffton, IN 46714-9338
Phone
(260) 615-8108
NPI assigned
Jul 23, 2008
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

State licenses

LicenseStateTypeSpecialty
99031690AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 99031690A IN Yes

Addresses

Primary practice location

377 S 500 E
Bluffton, IN 46714-9338

Mailing address

377 S 500 E
Bluffton, IN 46714-9338

Other providers in Bluffton, IN

All providers in Bluffton, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.