Provider Demographics
NPI:1386936847
Name:MILLER, ASHLEIGH ROSE (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:ROSE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ASHLEIGH
Other - Middle Name:ROSE
Other - Last Name:BENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:728 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-1448
Mailing Address - Country:US
Mailing Address - Phone:701-352-0400
Mailing Address - Fax:701-352-0220
Practice Address - Street 1:728 HILL AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-1448
Practice Address - Country:US
Practice Address - Phone:701-352-0400
Practice Address - Fax:701-352-0220
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor