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Search › Wisconsin › 101YA0400X

Amanda Keagle

NPI 1912707266 · on the registry since 2025 · sole proprietor

Practice

Address
926 S 8th St
Manitowoc, WI 54220
Phone
(920) 683-4230
Fax
(920) 683-4908
Organisation at this address
Koenig, Inc
Manitowoc Co Human Services Dept
Manitowoc Co Human Services Dept.
Manitowoc County Human Services Dept.
Manitowoc County Courthouse Comptrollers Office
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin