MEDICARE: ASHLEY STUCKWISCH

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1477409837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY STUCKWISCH

Provider Business Mailing Address
First Line	:	36 ORCHID LN
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-8368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 S LAKE DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-1727
Country	:	US
Telephone Number	:	912-446-5813
Fax Number	:	912-428-7146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ASHLEY STUCKWISCH ” Practice Location

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