Healthcare Provider Details

I. General information

NPI: 1487598538
Provider Name (Legal Business Name): AMANDA COMBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 S GILBERT RD STE 106-5
GILBERT AZ
85296-2263
US

IV. Provider business mailing address

428 S GILBERT RD STE 106-5
GILBERT AZ
85296-2263
US

V. Phone/Fax

Practice location:
  • Phone: 480-741-9525
  • Fax: 480-741-9523
Mailing address:
  • Phone: 480-741-9525
  • Fax: 480-741-9523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9425
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: