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NPI Code Detail

MEDICARE: DR. KEVIN ROBERT SPAHR DPT

MEDICARE: DR. KEVIN ROBERT SPAHR DPT
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 Therapist8146MN

General Provider Information

NPI Number : 1639334618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN ROBERT SPAHR DPT
Provider Business Mailing Address
First Line : 1939 MINNEHAHA AVE W STE 300
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-1033
Country : US
Telephone Number : 651-748-4338
Fax Number :
Provider Business Practice Location Address
First Line : 2125 E HENNEPIN AVE STE 300
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-0001
Country : US
Telephone Number : 612-767-9917
Fax Number : 612-767-9918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2008
Last Update Date : 06/08/2026

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