Provider Demographics
NPI:1538567367
Name:TESTER, ASHLEY (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:TESTER
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 1:65 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-2504
Mailing Address - Country:US
Mailing Address - Phone:731-441-7874
Mailing Address - Fax:731-207-1310
Practice Address - Street 1:ONE CHIROPRACTIC
Practice Address - Street 2:62 HOSPITAL DRIVE
Practice Address - City:MCKENZIE
Practice Address - State:TN
Practice Address - Zip Code:38201
Practice Address - Country:US
Practice Address - Phone:731-441-7874
Practice Address - Fax:731-207-1310
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ036427Medicaid