Tanner Spoden
Tanner Spoden is a Student in an Organized Health Care Education/Training Program in Crystal Lake, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1781 Kennsington LnCrystal Lake, IL 60014-2051
Phone: (815) 353-5091
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326586538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2017 |
| Last updated in NPPES | May 17, 2019 |
| Mailing address | 1781 Kennsington Ln, Crystal Lake, IL 60014-2051 |
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