Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Jacob Spencer, RSA

Individual provider Rehabilitation Practitioner · NPI 1912696246

Dylan Jacob Spencer, RSA is a Rehabilitation Practitioner in Waterloo, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1912696246
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing addressPo Box 146, Waterloo, IL 62298-0146

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