Provider Demographics
NPI:1366057911
Name:PRESTHUS, ASHLEY MORGAN (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MORGAN
Last Name:PRESTHUS
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 1:214 W JOHN FITCH AVE
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-1115
Mailing Address - Country:US
Mailing Address - Phone:502-350-1314
Mailing Address - Fax:
Practice Address - Street 1:214 W JOHN FITCH AVE
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-1115
Practice Address - Country:US
Practice Address - Phone:502-350-1314
Practice Address - Fax:502-350-1316
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06075111N00000X
KY274910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor