Provider Demographics
NPI:1427359801
Name:BATES-DALY, AMY JO (DC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:JO
Last Name:BATES-DALY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3436 SHAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66092-8605
Mailing Address - Country:US
Mailing Address - Phone:913-489-7055
Mailing Address - Fax:
Practice Address - Street 1:4701 COLLEGE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1608
Practice Address - Country:US
Practice Address - Phone:913-489-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor