NPI 1568989069

Larissa Mae Ashwell

Practitioner Mastectomy Fitter Chippewa Falls, WI

Practice location

Address: 101 N Bridge St STE 1, Chippewa Falls, WI 54729-2483
Phone: (715) 226-0775
Mailing address: 448 Irvine St, Chippewa Falls, WI 54729-3120

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1568989069
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2017
Record last updated: 24 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.