NPI 1154477966

Tracey Kimberly Spears, PTA

Practitioner Physical Therapy Assistant Southfield, MI

Practice location

Address: 26900 Franklin Rd, Southfield, MI 48034-5312
Phone: (248) 350-8070
Fax: (248) 350-8078
Mailing address: 22627 Strawberry CT 101, Novi, MI 48375-4676

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1154477966
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.