Most Relevant Information
Provider Data
| NPI Number: | 1003065137 |
| Provider Name: | KELLY ANN SPANDL PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A243 |
Most Important Dates
| Enumeration Date: | 09/12/2008 |
| Last Updated: | 09/12/2008 |
Provider Practice Location
612 S SIBLEY AVE
LITCHFIELD
MN
553553340
Practice Location Phone/Fax
| Phone: | 3206934528 |
| Fax: | 3206934561 |
Provider Mailing Location
519 S DONNELLY AVE
LITCHFIELD
MN
553552911
Provider Mailing Phone/Fax
| Phone: | 3205934967 |
| Fax: |