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NPI Code Detail

MEDICARE: DUSTIN ALLEN SPAULDING

MEDICARE: DUSTIN ALLEN SPAULDING
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
1225100000XPhysical TherapistPT022185OH

General Provider Information

NPI Number : 1558205625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN ALLEN SPAULDING
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 476 FORTMAN DR
Second Line :
City : SAINT MARYS
State : OH
Zip : 45885-1870
Country : US
Telephone Number : 419-300-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ DUSTIN ALLEN SPAULDING ” Practice Location

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