Provider Demographics
NPI:1568760486
Name:DIXON, ASHLEY (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:DIXON
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 1:6855 W BROWARD BLVD APT 110
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3070
Mailing Address - Country:US
Mailing Address - Phone:954-300-7897
Mailing Address - Fax:
Practice Address - Street 1:2880 W OAKLAND PARK BLVD STE 114
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1362
Practice Address - Country:US
Practice Address - Phone:954-372-7795
Practice Address - Fax:866-372-7734
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor