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NPI Code Detail

MEDICARE: ASHLEY JO EMERY

MEDICARE: ASHLEY JO EMERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1114625704
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JO EMERY
Provider Business Mailing Address
First Line : 5705 MCNIVEN RD
Second Line :
City : CHISHOLM
State : MN
Zip : 55719-8411
Country : US
Telephone Number : 218-969-6827
Fax Number :
Provider Business Practice Location Address
First Line : 1201 8TH ST S
Second Line :
City : VIRGINIA
State : MN
Zip : 55792-3349
Country : US
Telephone Number : 218-748-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2023
Last Update Date : 02/22/2023

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Directions to “ ASHLEY JO EMERY ” Practice Location

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