Healthcare Provider Details

I. General information

NPI: 1891511895
Provider Name (Legal Business Name): ASHLEY SMITH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2963 W DICKMAN RD
SPRINGFIELD MI
49037-7939
US

IV. Provider business mailing address

230 FIFER LN
BATTLE CREEK MI
49014-8955
US

V. Phone/Fax

Practice location:
  • Phone: 269-223-7870
  • Fax:
Mailing address:
  • Phone: 269-213-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401589
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: