Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1245438720 |
---|---|
Provider Name | Ms. Patsy L. Asher |
First Address | Brookfield, MO 64628-2423 |
Second Address | Brookfield, MO 64628-2423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 20/01/2009 |