Ashley Knight Disrud, LMT is a
Massage Therapist based in Oregon, Wisconsin. Ashley Knight Disrud is licensed to practice in Wisconsin (license number 13791-146) and her current practice location is
120 N Main St, Oregon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 515-8125.
NPI number for Ashley Knight Disrud is 1508463167 and her current mailing address is 120 N Main St, Oregon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508463167.
Healthcare Provider's Profile
Full Name | Ashley Knight Disrud |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 120 N Main St, Oregon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508463167
- Provider Enumeration Date: 10/07/2020
- Last Update Date: 10/07/2020
Medical Identifiers
Medical identifiers for Ashley Knight Disrud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508463167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 13791-146 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Knight Disrud is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ashley Knight Disrud, LMT 120 N Main St, Oregon, WI 53575-1405 Ph: (608) 515-8125 | Ashley Knight Disrud, LMT 120 N Main St, Oregon, WI 53575-1405 Ph: (608) 515-8125 |
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