MEDICARE: ASHLEY LEVERICH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	13908	TX

General Provider Information

NPI Number	:	1336622331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LEVERICH DC

Provider Business Mailing Address
First Line	:	8801 N FM 620 RD APT 525
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-3515
Country	:	US
Telephone Number	:	210-286-9575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 S CAPITAL OF TEXAS HWY STE 250
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6464
Country	:	US
Telephone Number	:	512-258-4425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	09/14/2018

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Directions to “ ASHLEY LEVERICH DC” Practice Location

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