Healthcare Provider Details

I. General information

NPI: 1700697992
Provider Name (Legal Business Name): ANDREA K SPIELVOGEL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA SMITHMYER

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 S MAIN ST STE 2
ADRIAN MI
49221-4309
US

IV. Provider business mailing address

13844 BANCROFT ST
SWANTON OH
43558-9637
US

V. Phone/Fax

Practice location:
  • Phone: 517-312-1711
  • Fax:
Mailing address:
  • Phone: 419-388-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: