Individual
SPENCER DERIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1715 1ST AVE E, NEWTON, IA 50208-4050
(641) 791-9675
(641) 787-9006
Mailing address
1715 1ST AVE E, NEWTON, IA 50208-4050
(641) 791-9675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112544
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112544
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
05/31/2022
Last updated
05/31/2022
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