Individual provider · Type 1 NPI
Ashley Moore, AESTHETICIAN
Prosthetic/Orthotic Supplier · Mequon, WI
Practice location
10520 N Baehr Rd Ste M
Mequon, WI 53092-6701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
2 other providers at this address
About NPI 1669122529
Ashley Moore, AESTHETICIAN's National Provider Identifier is 1669122529, issued on Mar 24, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mequon, WI. The record was last updated on Jul 20, 2023.