Provider Demographics
NPI:1659666493
Name:HEYWARD, ASHLEY C (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:HEYWARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-4314
Mailing Address - Country:US
Mailing Address - Phone:727-822-6700
Mailing Address - Fax:727-822-8361
Practice Address - Street 1:2206 4TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4314
Practice Address - Country:US
Practice Address - Phone:727-822-6700
Practice Address - Fax:727-822-8361
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor