Individual
ASHLEY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
421 BROAD ST STE 4, UTICA, NY 13501-1210
(315) 733-0590
(315) 693-1141
Mailing address
421 BROAD ST STE 4, UTICA, NY 13501-1210
(315) 733-0590
(315) 693-1141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013028
NY
111N00000X
Chiropractor
DCP00651
RI
Other
Enumeration date
12/29/2016
Last updated
11/16/2020
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