National Provider Identifier
Amanda Randall, D.C.
Amanda Randall, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Wolcott, NY and a listed phone number of (315) 905-4077.
Profile Overview
- NPI
- 1295150357
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 26, 2014
- Last Updated
- May 11, 2023
Practice Location
- 12007 E Main St
- Wolcott, NY 14590-1021
Phone: (315) 905-4077
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1295150357
- Entity Type
- Individual
- Last Name
- Randall
- First Name
- Amanda
- Credential
- D.C.
- Mailing Street Address
- 12007 E Main St
- Mailing City
- Wolcott
- Mailing State
- NY
- Mailing ZIP Code
- 14590-1021
- Mailing Country
- US
- Mailing Phone
- (315) 905-4077
- Mailing Fax
- (315) 905-4102
- Practice Street Address
- 12007 E Main St
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590-1021
- Practice Country
- US
- Practice Phone
- (315) 905-4077
- Practice Fax
- (315) 905-4102
- Enumeration Date
- February 26, 2014
- Last Updated
- May 11, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)