Provider Demographics
NPI:1528496726
Name:MULLHOLAND, AMANDA (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:MULLHOLAND
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 1:1500 TIFFIN AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6855
Mailing Address - Country:US
Mailing Address - Phone:567-429-9309
Mailing Address - Fax:567-208-5023
Practice Address - Street 1:1500 TIFFIN AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6855
Practice Address - Country:US
Practice Address - Phone:567-429-9309
Practice Address - Fax:567-208-5023
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor