Ashley Marie Lang, PTA

Individual provider Active NPI Physical Therapy Assistant · Lancaster, WI

NPI 1750153292 · NPPES record last updated Oct 27, 2023

Key facts

NPI
1750153292
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
4074 (WI)
Practice address
507 S Monroe St
Lancaster, WI 53813-2099
Phone
(608) 723-2143
NPI assigned
Oct 27, 2023
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
4074WIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4074 WI Yes

Addresses

Primary practice location

507 S Monroe St
Lancaster, WI 53813-2099

Mailing address

507 S Monroe St
Lancaster, WI 53813-2099
Phone (608) 723-2143

Other providers in Lancaster, WI

All providers in Lancaster, WI · Physical Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.