Healthcare Provider Details

I. General information

NPI: 1114172194
Provider Name (Legal Business Name): JOHN SPENCER FINNELL ND, PHD, MPH, DIPLOM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 METROPOLIS DR
AUSTIN TX
78744-3111
US

IV. Provider business mailing address

7901 METROPOLIS DR
AUSTIN TX
78744-3111
US

V. Phone/Fax

Practice location:
  • Phone: 512-422-7215
  • Fax:
Mailing address:
  • Phone: 512-422-7215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60050283
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC01484
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: