Provider Demographics
NPI:1194038331
Name:QUALLS, ASHLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:QUALLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BABCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:450 S CAMINO DEL RIO
Mailing Address - Street 2:STE. 206
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6856
Mailing Address - Country:US
Mailing Address - Phone:970-385-8585
Mailing Address - Fax:970-385-8584
Practice Address - Street 1:450 S CAMINO DEL RIO
Practice Address - Street 2:STE. 206
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-6856
Practice Address - Country:US
Practice Address - Phone:970-385-8585
Practice Address - Fax:970-385-8584
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6547111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor