Individual
MICHELE SPADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
910 20TH ST, GOTHENBURG, NE 69138-1237
(308) 537-4023
Mailing address
1721 AVENUE L, GOTHENBURG, NE 69138-1559
(308) 529-0126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
617
NE
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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