Provider Demographics
NPI:1154599264
Name:ASH, JOHN FRANK (PT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANK
Last Name:ASH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:966 S 60TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-3346
Mailing Address - Country:US
Mailing Address - Phone:414-453-6665
Mailing Address - Fax:414-256-0019
Practice Address - Street 1:966 S 60TH ST
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-3346
Practice Address - Country:US
Practice Address - Phone:414-453-6665
Practice Address - Fax:414-256-0019
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI00850073Medicare PIN