Doctor Name: | TRAVIS J SPAGNOLA |
NPI Number: | 1992978175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 070016338 |
Business Practice Address: | 17236 Harlem Ave Tinley Park, IL - 604776619 |
Business Phone Number: | 7086338379 |
Business Fax Number: | 7086338614 |
Mailing Address: | 1816 170th St, HAZEL CREST |
State: | IL |
Postal Code: | 604291451 |
Phone Number: | 7083351415 |
Fax Number: | 7083350115 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070016338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |