Individual
AMY C ANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1005 WILLIAMS ST, GREAT BEND, KS 67530-4474
(316) 215-1584
Mailing address
205 GRANDVIEW AVE, NEWTON, KS 67114-2045
(316) 215-1584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04561
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA1715
PTAN
KS
Enumeration date
10/02/2006
Last updated
04/19/2023
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