Healthcare Provider Details

I. General information

NPI: 1023789203
Provider Name (Legal Business Name): AMANDA RINGSTAD DC, CAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 PFOST DR
PEYTON CO
80831-6063
US

IV. Provider business mailing address

6615 PFOST DR
PEYTON CO
80831-6063
US

V. Phone/Fax

Practice location:
  • Phone: 719-357-5488
  • Fax:
Mailing address:
  • Phone: 719-357-5488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0009066
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: