Provider Demographics
NPI:1982839718
Name:GENTHNER, ASHLEY PARMARTER (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PARMARTER
Last Name:GENTHNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:PARMARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:355 CRAWFORD ST STE 105
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2832
Mailing Address - Country:US
Mailing Address - Phone:757-399-4700
Mailing Address - Fax:757-399-0011
Practice Address - Street 1:355 CRAWFORD ST
Practice Address - Street 2:SUITE 506
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2816
Practice Address - Country:US
Practice Address - Phone:757-399-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10801Medicare UPIN