Doctor Name: | SUSAN ANNE SPIKER |
NPI Number: | 1184094450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA79831 |
Business Practice Address: | 4909 Nw 27th Court, Suite B Gainesville, FL - 326066509 |
Business Phone Number: | 3523776008 |
Business Fax Number: | 3523777364 |
Mailing Address: | 4909 Nw 27th Court, Suite B, GAINESVILLE |
State: | FL |
Postal Code: | 326063740 |
Phone Number: | 3523776008 |
Fax Number: | 3523777364 |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 02/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA79831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |