Provider Demographics
NPI:1780947580
Name:LEWIS, AMY (DC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 S SHILOH RD STE 107
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-8903
Mailing Address - Country:US
Mailing Address - Phone:972-840-2520
Mailing Address - Fax:
Practice Address - Street 1:1919 S SHILOH RD STE 107
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-8903
Practice Address - Country:US
Practice Address - Phone:972-840-2520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15413111N00000X
AR16127111N00000X
TX11999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor