Provider Demographics
NPI:1811099484
Name:SCHWANDER, ASHLEY A (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:A
Last Name:SCHWANDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:A
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:216 N WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:IA
Mailing Address - Zip Code:50129-1923
Mailing Address - Country:US
Mailing Address - Phone:515-386-3747
Mailing Address - Fax:515-386-4087
Practice Address - Street 1:216 N WILSON AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:IA
Practice Address - Zip Code:50129-1923
Practice Address - Country:US
Practice Address - Phone:515-386-3747
Practice Address - Fax:515-386-4087
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor