Provider Demographics
NPI:1659148674
Name:ASCHER, MARIA KATHLEEN (DPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:KATHLEEN
Last Name:ASCHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 3RD ST N APT J
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-2063
Mailing Address - Country:US
Mailing Address - Phone:651-260-8185
Mailing Address - Fax:
Practice Address - Street 1:192 JADE TRL N
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-4496
Practice Address - Country:US
Practice Address - Phone:612-431-2430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist