Provider Demographics
NPI:1528956471
Name:STANDBERRY, ASHAUNTE (DC)
Entity type:Individual
Prefix:
First Name:ASHAUNTE
Middle Name:
Last Name:STANDBERRY
Suffix:
Gender:X
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 E RIDING RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-3743
Mailing Address - Country:US
Mailing Address - Phone:334-819-6184
Mailing Address - Fax:
Practice Address - Street 1:7244 HALCYON PARK DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7717
Practice Address - Country:US
Practice Address - Phone:334-676-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor