Doctor Name: | ASHLEY STIFTER |
NPI Number: | 1235507690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 652 Northgate Dr Winsted, MN - 553951056 |
Business Phone Number: | 9525647506 |
Business Fax Number: | |
Mailing Address: | 652 Northgate Dr, Po Box 410 WINSTED |
State: | MN |
Postal Code: | 553951056 |
Phone Number: | 9525647506 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2255R0406X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Rehabilitation, Blind |
Taxonomy Definition: |