Healthcare Provider Details

I. General information

NPI: 1356252951
Provider Name (Legal Business Name): DAVENPORT FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2256 S SEMINOLE TRL
MADISON VA
22727-2501
US

IV. Provider business mailing address

2256 S SEMINOLE TRL
MADISON VA
22727-2501
US

V. Phone/Fax

Practice location:
  • Phone: 703-261-4194
  • Fax:
Mailing address:
  • Phone: 703-261-4194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY NICOLE DAVENPORT
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 434-962-8989