Provider Demographics
NPI:1891047486
Name:BATTAGLIA, ASHLEY AMANDA (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:AMANDA
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:AMANDA
Other - Last Name:GAINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:15945 CLAYTON RD STE 230C
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2491
Mailing Address - Country:US
Mailing Address - Phone:636-256-5200
Mailing Address - Fax:
Practice Address - Street 1:15945 CLAYTON RD STE 230C
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011
Practice Address - Country:US
Practice Address - Phone:636-256-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013003526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor