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MISS AMANDA M HETZEL DC
NPI 1013566421
Chiropractor in Green Lake, WI

Active since September 09, 2019
505 LAKE ST, GREEN LAKE, WI 54941(920) 294-3130(920) 294-3238 Get Directions Write a Review

NPPES record last updated: August 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2022, Sep 9, 2019 (2 updates tracked since 2019).

About Miss Amanda M Hetzel Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS AMANDA M HETZEL DC (NPI 1013566421) is an individual chiropractor in Green Lake, Wisconsin, licensed in Wisconsin (5477-12) and active in the NPI registry since September 2019. She maintains a secondary practice location in Wautoma.

NPPES Registry Identity

NPI1013566421
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMISS AMANDA M HETZELCredential: DC
Location Address505 LAKE STGreen Lake, WI 54941-8820
Mailing AddressPo Box 458Green Lake, WI 54941-0458 · (920) 294-3130 · Fax (920) 294-3238
Phone(920) 294-3130
Fax(920) 294-3238
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateAugust 28, 20222 updates tracked since enumeration
NPPES CertifiedAugust 28, 2022
✔ NPI 1013566421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5477-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
505 LAKE ST, Green Lake, WI 54941
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Other Names 1

Former Name (1)Amanda M Oberc Dc

Secondary Practice Location 1

Location 1W7841 State Road 21 73Wautoma, WI 54982-5219 · Phone (920) 787-0081 · Fax (920) 787-0083

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA ANN KASTEIN DC
Chiropractor
505 LAKE ST
GREEN LAKE, WI 54941
Green Lake County (920) 294-3130
PAIGE WEYER
Student in an Organized Health Care Education/Training Program
505 LAKE ST
GREEN LAKE, WI 54941
Green Lake County (920) 294-3130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Hetzel's NPI number?

The NPI number for Amanda Hetzel is 1013566421. It was assigned to this individual provider in the NPPES registry on September 9, 2019. The provider is also known as Amanda M Oberc Dc.

Where is Amanda Hetzel located?

Amanda Hetzel practices at 505 Lake St, Green Lake, WI 54941. The listed phone number is (920) 294-3130.

What is Amanda Hetzel's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Amanda Hetzel was last updated on August 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.