Provider Demographics
NPI:1336155340
Name:RAMMEL, AMANDA LYNN (DC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:RAMMEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LYNN
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:550 W PLUMB LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3468
Mailing Address - Country:US
Mailing Address - Phone:775-825-0608
Mailing Address - Fax:775-825-0606
Practice Address - Street 1:550 W PLUMB LN
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3468
Practice Address - Country:US
Practice Address - Phone:775-825-0608
Practice Address - Fax:775-825-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV103542Medicare PIN