Provider Demographics
NPI:1639538416
Name:KLAVON, ASHLIE (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ASHLIE
Middle Name:
Last Name:KLAVON
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:ASHLIE
Other - Middle Name:
Other - Last Name:HARDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, LAC
Mailing Address - Street 1:6637 E 123RD DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-9635
Mailing Address - Country:US
Mailing Address - Phone:303-907-5933
Mailing Address - Fax:
Practice Address - Street 1:6637 E 123RD DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80602-9635
Practice Address - Country:US
Practice Address - Phone:303-907-5933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002142171100000X
COCHR.0008002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist