| NPI | 1538659776 |
|---|---|
| Former Name | AMANDA JO KELLERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003133A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-04818) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2020-02-10 |