MEDICARE: DR. AMANDA KEPPEL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15198	TX
2	111N00000X	Chiropractor	DC011852	PA

General Provider Information

NPI Number	:	1922747591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA KEPPEL DC

Provider Business Mailing Address
First Line	:	348 NORTHCROFT RD
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-1316
Country	:	US
Telephone Number	:	484-802-4303
Fax Number	:

Provider Business Practice Location Address
First Line	:	992 OLD EAGLE SCHOOL RD STE 902
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1803
Country	:	US
Telephone Number	:	610-337-7463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	08/21/2023

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Directions to “ DR. AMANDA KEPPEL DC” Practice Location

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