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NPI Code Detail

MEDICARE: KATSY SPENCE

MEDICARE: KATSY SPENCE
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
1225200000XPhysical Therapy Assistant11880AAZ

General Provider Information

NPI Number : 1801269626
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATSY SPENCE
Provider Business Mailing Address
First Line : 1025 E BROADWAY RD STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1535
Country : US
Telephone Number : 480-829-0217
Fax Number : 480-829-1410
Provider Business Practice Location Address
First Line : 1025 E BROADWAY RD STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1535
Country : US
Telephone Number : 480-829-0217
Fax Number : 480-829-1410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2015
Last Update Date : 11/02/2015

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Directions to “ KATSY SPENCE ” Practice Location

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