Organization
SPRING SPORT & SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A SANDEFUR (CEO)
(281) 650-3036
Entity
Organization
Contact information
Practice address
19510 KUYKENDAHL RD STE A, SPRING, TX 77379-3481
(281) 651-7111
Mailing address
25700 I H 45 STE 400, THE WOODLANDS, TX 77386-2198
(281) 650-3036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/15/2023
Last updated
06/22/2023
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