| Doctor Name: | RICHARD L SPENCER |
| NPI Number: | 1407111867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 4633 |
| Business Practice Address: | 200 N Main St Ste C Sand Springs, OK - 740637638 |
| Business Phone Number: | 9182450111 |
| Business Fax Number: | 9182453555 |
| Mailing Address: | 4812 E 33rd St, TULSA |
| State: | OK |
| Postal Code: | 741352038 |
| Phone Number: | 9186224126 |
| Fax Number: | 9182702398 |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |