Provider Demographics
NPI:1598728370
Name:EATON, AMANDA NICOLE LAPIN (DC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:NICOLE LAPIN
Last Name:EATON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:NICOLE
Other - Last Name:LAPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2330 MOTTMAN RD SW STE 106
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-6232
Mailing Address - Country:US
Mailing Address - Phone:360-915-3659
Mailing Address - Fax:360-350-0019
Practice Address - Street 1:2330 MOTTMAN RD SW STE 106
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-6232
Practice Address - Country:US
Practice Address - Phone:360-915-3659
Practice Address - Fax:360-350-0019
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60219139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor