Individual
TIMOTHY SPRADLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABC-BOC LO
Contact information
Practice address
3719 24TH ST, LUBBOCK, TX 79410-2015
(806) 792-0395
(806) 792-0396
Mailing address
3719 24TH ST, LUBBOCK, TX 79410-2015
(806) 792-0395
(806) 792-0396
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
170
TX
Other
Enumeration date
06/04/2012
Last updated
08/23/2012
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