Provider Demographics
NPI:1750527289
Name:HARTMAN, ASHLEY RAE (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RAE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:RAE
Other - Last Name:FLEMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4401 EGAN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2024
Mailing Address - Country:US
Mailing Address - Phone:952-746-4162
Mailing Address - Fax:952-808-3112
Practice Address - Street 1:4401 EGAN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2024
Practice Address - Country:US
Practice Address - Phone:952-746-4162
Practice Address - Fax:952-808-3112
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor