Provider Demographics
NPI:1477889434
Name:JURY, AMY L (D C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:JURY
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3760
Mailing Address - Country:US
Mailing Address - Phone:570-885-7116
Mailing Address - Fax:
Practice Address - Street 1:400 FRANKLIN AVE STE 216
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3164
Practice Address - Country:US
Practice Address - Phone:484-854-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor