Theresa M Spade, PT
Physical Therapist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1982605804
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982605804
- Entity type
- Individual (NPI-1)
- Name
- Theresa M Spade
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05002068A | IN | Yes |
Other names
- Theresa M Minnick (Former Name)
Practice location
7601 W Jefferson BlvdFort Wayne, IN 46804-4133
Phone 260-436-8686 · Fax 260-432-5075
Mailing address
Po Box 2526Fort Wayne, IN 46801-2526
Phone 260-436-8686 · Fax 260-432-5075
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All 376 Physical Therapist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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