Healthcare Provider Details

I. General information

NPI: 1245362086
Provider Name (Legal Business Name): MICHAEL A SPRING MS, ATC, DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SAM NEWELL RD SUITE 202
MATTHEWS NC
28105-7593
US

IV. Provider business mailing address

855 SAM NEWELL RD SUITE 202
MATTHEWS NC
28105-7593
US

V. Phone/Fax

Practice location:
  • Phone: 704-847-8308
  • Fax:
Mailing address:
  • Phone: 704-847-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4577
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: