Individual
AMANDA J PENNEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
204 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9211
(608) 839-1172
(608) 839-1174
Mailing address
105 CLARMAR DR, SUN PRAIRIE, WI 53590-2675
(608) 318-5929
(608) 318-5922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4784
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021017
—
WI
Enumeration date
01/19/2012
Last updated
04/08/2026
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