Provider Demographics
NPI:1407081706
Name:ELMER, ASHLEY LYNN (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:ELMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16190 HIGHWAY 7
Mailing Address - Street 2:SUITE A
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3403
Mailing Address - Country:US
Mailing Address - Phone:651-336-8843
Mailing Address - Fax:952-933-2406
Practice Address - Street 1:16190 HIGHWAY 7
Practice Address - Street 2:SUITE A
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-3403
Practice Address - Country:US
Practice Address - Phone:651-336-8843
Practice Address - Fax:952-933-2406
Is Sole Proprietor?:No
Enumeration Date:2009-05-16
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor