Individual
MRS. AMANDA CHRISTIANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1107 CHURCH ST, BASTROP, TX 78602-3206
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(800) 404-6050
(866) 313-3397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11927
TX
111NR0400X
Rehabilitation Chiropractor
Primary
11927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11927
CHIROPRACTIC LICENSE
TX
Enumeration date
12/19/2011
Last updated
02/25/2026
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