Provider Demographics
NPI:1396032397
Name:NELSON, ASHLEY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:NELSON
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 1:720 HILL ST
Mailing Address - Street 2:STE 200
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-3539
Mailing Address - Country:US
Mailing Address - Phone:608-233-7750
Mailing Address - Fax:608-233-7750
Practice Address - Street 1:1940 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3172
Practice Address - Country:US
Practice Address - Phone:608-824-0111
Practice Address - Fax:608-824-0605
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4757-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor