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

Mr. John Dewane Spencer Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1306108857

Mr. John Dewane Spencer Jr., PTA is a Physical Therapy Assistant in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4069 W Linwood St
Springfield, MO 65807-1035
Phone: (417) 761-1532
Fax: (417) 315-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2010034268 (MO)

Record details

NPI number1306108857
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 11, 2012

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