AMANDA RAE DIERCKS D.C.
NPI 1548379498
Chiropractor in Antigo, WI

Active since August 30, 2006
1111 LANGLADE RD, ANTIGO, WI 54409(715) 623-3761(715) 623-3764 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Amanda Rae Diercks D.c. NPPES

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

AMANDA RAE DIERCKS D.C. (NPI 1548379498) is an individual chiropractor in Antigo, Wisconsin, licensed in Wisconsin (4179-012) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1548379498
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAMANDA RAE DIERCKSCredential: D.C.
Location Address1111 LANGLADE RDAntigo, WI 54409-2738
Mailing Address1111 Langlade RdAntigo, WI 54409-2738 · (715) 623-3761 · Fax (715) 623-3764
Fax(715) 623-3764
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 31, 2007
✔ NPI 1548379498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4179-012
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.
1111 LANGLADE RD, Antigo, WI 54409

Other Providers at the Same Location NPPES 11

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

Dental Hygienist
1111 LANGLADE RD
ANTIGO, WI 54409
Dental Hygienist
1111 LANGLADE RD
ANTIGO, WI 54409
General Acute Care Hospital (Critical Access)
1111 LANGLADE RD
ANTIGO, WI 54409
Family Medicine
1111 LANGLADE RD
ANTIGO, WI 54409
Dental Hygienist
1111 LANGLADE RD
ANTIGO, WI 54409
Chiropractor
1111 LANGLADE RD
ANTIGO, WI 54409
Dental Hygienist
1111 LANGLADE RD
ANTIGO, WI 54409
Dental Hygienist
1111 LANGLADE RD
ANTIGO, WI 54409

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 Diercks's NPI number?

The NPI number for Amanda Diercks is 1548379498. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Amanda Diercks located?

Amanda Diercks practices at 1111 Langlade Rd, Antigo, WI 54409. The listed phone number is (715) 623-3761.

What is Amanda Diercks'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 Diercks was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.