Provider Demographics
NPI:1871833244
Name:RHOADES, ASHLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:RHOADES
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 1:1177 W SUNSET AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5263
Mailing Address - Country:US
Mailing Address - Phone:479-236-3606
Mailing Address - Fax:479-756-8801
Practice Address - Street 1:1177 W SUNSET AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5263
Practice Address - Country:US
Practice Address - Phone:479-236-3606
Practice Address - Fax:479-756-8801
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor