MEDICARE: DAWN BARBARA SPIEKERMAN L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	33.007953	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346544814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN BARBARA SPIEKERMAN L.M.T.

Provider Business Mailing Address
First Line	:	3334 WALBROOK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-5561
Country	:	US
Telephone Number	:	216-526-9235
Fax Number	:

Provider Business Practice Location Address
First Line	:	23131 EMERY RD
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5136
Country	:	US
Telephone Number	:	216-514-9590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2010
Last Update Date	:	12/27/2010

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