Provider Demographics
NPI:1497955389
Name:MUSSER, ASHLEY ELIZABETH (MT-BC)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:MUSSER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 WESSEL CT
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-3559
Mailing Address - Country:US
Mailing Address - Phone:989-600-2987
Mailing Address - Fax:
Practice Address - Street 1:40 W 310 LAFOX ROAD
Practice Address - Street 2:B1
Practice Address - City:ST. CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-6588
Practice Address - Country:US
Practice Address - Phone:630-444-0077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist