Provider Demographics
NPI:1790130730
Name:FRANCIS, AMANDA (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:SWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4404 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-5049
Mailing Address - Country:US
Mailing Address - Phone:563-940-4470
Mailing Address - Fax:563-726-7575
Practice Address - Street 1:4404 RIDGE DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-5049
Practice Address - Country:US
Practice Address - Phone:563-940-4470
Practice Address - Fax:563-726-7575
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA090949111N00000X
COCHR.0007178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor