Provider Demographics
NPI:1609212950
Name:NASH, SHELLEY RAE (DC)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:RAE
Last Name:NASH
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 1:9450 E BECKER LN
Mailing Address - Street 2:2043
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6707
Mailing Address - Country:US
Mailing Address - Phone:480-661-0260
Mailing Address - Fax:
Practice Address - Street 1:9450 E BECKER LN
Practice Address - Street 2:2043
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6707
Practice Address - Country:US
Practice Address - Phone:480-661-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor