Healthcare Provider Details

I. General information

NPI: 1538545603
Provider Name (Legal Business Name): ASHLEY VIRGINIA JEFFERIES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FEDERAL BLVD STE 220
DENVER CO
80211-3741
US

IV. Provider business mailing address

2949 FEDERAL BLVD STE 220
DENVER CO
80211-3741
US

V. Phone/Fax

Practice location:
  • Phone: 720-819-6964
  • Fax:
Mailing address:
  • Phone: 720-819-6964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0008062
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number0008062
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: