Provider Demographics
NPI:1336796101
Name:ZAUEL, ASHLEY LILA (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LILA
Last Name:ZAUEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LILA
Other - Last Name:CARIGNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:1485 N MICHIGAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-3106
Practice Address - Country:US
Practice Address - Phone:517-545-5880
Practice Address - Fax:517-545-5887
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist