Doctor Name: | ASHLEY I OSGOOD |
NPI Number: | 1245496371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 004273 |
Business Practice Address: | 25 W Hickman Rd Suite 200 Waukee, IA - 502635018 |
Business Phone Number: | 5156437050 |
Business Fax Number: | 5156437051 |
Mailing Address: | Po Box 1475, DES MOINES |
State: | IA |
Postal Code: | 503051475 |
Phone Number: | 5156437050 |
Fax Number: | 5156437051 |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 004273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |