Provider Demographics
NPI:1033851811
Name:AMOS, LEANNAH (DC)
Entity type:Individual
Prefix:DR
First Name:LEANNAH
Middle Name:
Last Name:AMOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15581 ANDOVER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-1071
Mailing Address - Country:US
Mailing Address - Phone:301-252-6080
Mailing Address - Fax:
Practice Address - Street 1:242 BUTLER RD STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2441
Practice Address - Country:US
Practice Address - Phone:540-321-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557987111N00000X
VA0019020143225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist