Healthcare Provider Details

I. General information

NPI: 1033498001
Provider Name (Legal Business Name): ASHLEY LOUISE BLESKACHEK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY L WALKOVIAK OTR/L

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 US HIGHWAY 12 E STE 160
MENOMONIE WI
54751-3045
US

IV. Provider business mailing address

3001 US HIGHWAY 12 E STE 225
MENOMONIE WI
54751-3045
US

V. Phone/Fax

Practice location:
  • Phone: 715-232-1116
  • Fax: 715-232-5987
Mailing address:
  • Phone: 715-232-1116
  • Fax: 715-232-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5043-026
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: