Healthcare Provider Details

I. General information

NPI: 1790406619
Provider Name (Legal Business Name): NATALIE SPANGLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 FREEPORT RD
BLAWNOX PA
15238-3426
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 412-752-7550
  • Fax:
Mailing address:
  • Phone: 423-405-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT030708
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: