Doctor Name: | MICHAEL DEAN SPIRY |
NPI Number: | 1083817472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 5559 |
Business Practice Address: | 2104 Northdale Blvd Nw Suite 220 Minneapolis, MN - 554333028 |
Business Phone Number: | 7635376000 |
Business Fax Number: | 7635376666 |
Mailing Address: | 2104 Northdale Blvd Nw, Suite 220 MINNEAPOLIS |
State: | MN |
Postal Code: | 554333028 |
Phone Number: | 7635376000 |
Fax Number: | 7635376666 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |