Provider Demographics
NPI:1073101747
Name:BANDY, JESSI NICOLE (DC)
Entity Type:Individual
Prefix:
First Name:JESSI
Middle Name:NICOLE
Last Name:BANDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JESSI
Other - Middle Name:NICOLE
Other - Last Name:AUFRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:324C SOUTHWIND PL
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3134
Mailing Address - Country:US
Mailing Address - Phone:785-320-5300
Mailing Address - Fax:
Practice Address - Street 1:324C SOUTHWIND PL
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3134
Practice Address - Country:US
Practice Address - Phone:785-320-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor