# SPRING SPORT & SPINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174213961
- **Authorized official:** REBECCA A SANDEFUR (CEO)
- **Authorized official phone:** (281) 650-3036

## Contact information

- **Practice address:** 19510 KUYKENDAHL RD STE A, SPRING, TX 77379-3481
- **Practice address phone:** (281) 651-7111
- **Mailing address:** 25700 I H 45 STE 400, THE WOODLANDS, TX 77386-2198
- **Mailing address phone:** (281) 650-3036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 06/22/2023