Individual
AMANDA MARIE HESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, D.C., L.AC
Contact information
Practice address
2503 WALNUT ST STE 100, BOULDER, CO 80302-5745
(303) 587-9437
(303) 587-9437
Mailing address
2503 WALNUT ST STE 100, BOULDER, CO 80302-5745
(303) 587-9437
(303) 587-9437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7235
CO
171100000X
Acupuncturist
—
—
225XH1200X
Hand Occupational Therapist
4189
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179343
ANTHEM HEALTH PLAN
—
05
—
000000375790
—
IN
Enumeration date
09/15/2006
Last updated
04/19/2016
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