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

Tanner Spade, DPT, OCS, SCS

Individual provider Physical Therapist · NPI 1659961845

Tanner Spade, DPT, OCS, SCS is a Physical Therapist in Buffalo, Wyoming. Licensed in Wyoming. Registered with an NPI since 2021.

Licensed in
WY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

109 W Hesse St
Buffalo, WY 82834-1501
Phone: (307) 621-0935
Fax: (844) 409-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1715 (WY)

Record details

NPI number1659961845
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , SCS
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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