Individual
ANDREW SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13TH ST STE 121, GRAND ISLAND, NE 68803-3302
(308) 675-1853
Mailing address
1904 MEADOW RD, GRAND ISLAND, NE 68803-1583
(308) 850-7766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
783
NE
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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