Provider Demographics
NPI:1700349776
Name:RICHIARDI, ASHLEY SHEA (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SHEA
Last Name:RICHIARDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:SHEA
Other - Last Name:STERKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6118 KISSENGEN SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-5136
Mailing Address - Country:US
Mailing Address - Phone:904-762-8397
Mailing Address - Fax:
Practice Address - Street 1:6118 KISSENGEN SPRINGS CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-5136
Practice Address - Country:US
Practice Address - Phone:904-762-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12117111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor