Healthcare Provider Details

I. General information

NPI: 1558225987
Provider Name (Legal Business Name): AMELIA MICHELLE DEMPEWOLF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 SMITH CIR
MICHIE TN
38357-7046
US

IV. Provider business mailing address

272 SMITH CIR
MICHIE TN
38357-7046
US

V. Phone/Fax

Practice location:
  • Phone: 731-610-8966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: