Kelly Ann Spandl, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A243 Issued in MN

Practice address

612 S Sibley Ave
Litchfield, MN 55355-3340

Phone

(320) 693-4528

Fax

(320) 693-4561

NPI assigned

Sep 12, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1003065137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S DONNELLY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552911",
            "telephone_number": "320-593-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553553340",
            "telephone_number": "320-693-4528",
            "fax_number": "320-693-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANDL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sibley Dental Suite, PLLC
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• Jennifer Lyn Sommerfeld, RN
• St. Cloud Hospital
• Steven Bachman
• Anita M Strei, MD
• Ryan P Swenson, DDS
• Terrence L Tancabel, O.D.

• Physical Therapy Assistant in Litchfield, MN
• Providers in Litchfield, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.