Provider Demographics
NPI:1376173815
Name:RICHENBERGER, ASHLEY (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:RICHENBERGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-3738
Mailing Address - Country:US
Mailing Address - Phone:563-263-3800
Mailing Address - Fax:563-263-3801
Practice Address - Street 1:228 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-3738
Practice Address - Country:US
Practice Address - Phone:563-263-3800
Practice Address - Fax:563-263-3801
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA099375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor