Provider Demographics
NPI:1528392826
Name:BAES, AMANDA DEE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:DEE
Last Name:BAES
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 1:151 HERITAGE PARK DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0505
Mailing Address - Country:US
Mailing Address - Phone:615-203-3505
Mailing Address - Fax:615-203-3513
Practice Address - Street 1:151 HERITAGE PARK DR
Practice Address - Street 2:SUITE 401
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0505
Practice Address - Country:US
Practice Address - Phone:615-203-3505
Practice Address - Fax:615-203-3513
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2784111N00000X
WI4639-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor