TANNER SPADE DPT, OCS, SCS
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1659961845- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DPT, OCS, SCS
- Status
- Active
Contact & Location
- Address
- 109 W HESSE ST, BUFFALO, WY, 828341501
- Phone
- (307) 621-0935
- Fax
- (844) 409-0424
Specialties & Taxonomies
Physical Therapist
Primary License: WY #PT-1715