Provider Demographics
NPI:1518058486
Name:MUSE, ASHLEIGH ROCHELE (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:ROCHELE
Last Name:MUSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:ROCHELE
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12401 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-1967
Mailing Address - Country:US
Mailing Address - Phone:405-842-3413
Mailing Address - Fax:405-842-3417
Practice Address - Street 1:12401 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-1967
Practice Address - Country:US
Practice Address - Phone:405-842-3413
Practice Address - Fax:405-842-3417
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKU71749Medicare UPIN