Individual provider · Type 1 NPI
Amanda M. Hetzel, DC
Chiropractor · Green Lake, WI
NPI number
1013566421
Active
Practice location
505 Lake St
Green Lake, WI 54941-8820
Fax (920) 294-3238
Mailing address
PO Box 458
Green Lake, WI 54941-0458
Other practice locations
- W7841 State Road 21 73, Wautoma, WI 54982-5219 · (920) 787-0081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5477-12 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Green Lake
About NPI 1013566421
Amanda M. Hetzel, DC's National Provider Identifier is 1013566421, issued on Sep 9, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Lake, WI. The record was last updated on Aug 28, 2022.