Provider Demographics
NPI:1225523749
Name:SPITZA, ASHLEIGH MARIE (RDN)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:MARIE
Last Name:SPITZA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N54W27900 SUTTON CT
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-4505
Mailing Address - Country:US
Mailing Address - Phone:262-573-8387
Mailing Address - Fax:
Practice Address - Street 1:3365 S 103RD ST STE 100
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-4162
Practice Address - Country:US
Practice Address - Phone:414-321-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2957-29133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered