Provider Demographics
NPI:1356586770
Name:FELDMAN, ASHLEY WARREN (DC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WARREN
Last Name:FELDMAN
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 1:126 W AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-7832
Mailing Address - Country:US
Mailing Address - Phone:903-617-6110
Mailing Address - Fax:903-617-6108
Practice Address - Street 1:126 W AMHERST DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-7832
Practice Address - Country:US
Practice Address - Phone:903-617-6110
Practice Address - Fax:903-617-6108
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor