TANNER SPADE

GILLETTE, WY
NPI1659961845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1715)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
TANNER SPADE DPT
1211 S DOUGLAS HWY STE 100
GILLETTE, WY 82716-4982
Phone number: 307-670-9191
Mailing Address
TANNER SPADE DPT
1211 S DOUGLAS HWY STE 100
GILLETTE, WY 82716-4982
Phone number: 307-670-9191
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