Provider Demographics
NPI:1043056294
Name:HRABAK, ASHLEE NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:NICOLE
Last Name:HRABAK
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 1:4929 UTICA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3063
Mailing Address - Country:US
Mailing Address - Phone:563-424-1816
Mailing Address - Fax:
Practice Address - Street 1:4929 UTICA RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3063
Practice Address - Country:US
Practice Address - Phone:563-424-1816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA127085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor