Provider Demographics
NPI:1679261192
Name:BYRD, ASHLEY M (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:BYRD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19533 HIGHLAND OAKS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-9639
Mailing Address - Country:US
Mailing Address - Phone:239-354-7744
Mailing Address - Fax:
Practice Address - Street 1:19533 HIGHLAND OAKS DR STE 120
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9639
Practice Address - Country:US
Practice Address - Phone:239-354-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor