Individual provider · Type 1 NPI

Ashley Knight Disrud, LMT

Massage Therapist · Oregon, WI

NPI number 1508463167 Active

Practice location

120 N Main St
Oregon, WI 53575-1405

Call (608) 515-8125 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13791-146 (WI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

About NPI 1508463167

Ashley Knight Disrud, LMT's National Provider Identifier is 1508463167, issued on Oct 7, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oregon, WI. The record was last updated on Oct 7, 2020.