Provider Demographics
NPI:1164811840
Name:COHOON, ASHLEY M (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:COHOON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:M
Other - Last Name:DOERR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1995 CEDAR ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-6630
Mailing Address - Country:US
Mailing Address - Phone:517-699-3000
Mailing Address - Fax:
Practice Address - Street 1:1995 CEDAR ST STE 3
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-6630
Practice Address - Country:US
Practice Address - Phone:517-699-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-17
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor