Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ANTHONY SPATAFORE, DPT/MS
ActiveJACK ANTHONY SPATAFORE, DPT/MS is a Specialist healthcare provider located in BRIDGEPORT, West Virginia. NPI 1093711657 is currently active in the NPPES registry. Verify at CMS.
Specialist · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1093711657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (20.944742652918 yrs)
- Last Updated
- Mar 25, 2009
- Licenses
-
002038 (WV)002038 (WV)
Practice Information
- Address
-
306 W MAIN STBRIDGEPORT, WV, 263301751Browse WV providers · Browse ZIP 26330
- Phone
- 3048423137
- Fax
- 3048423138
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Physical Therapy Assistant
Other Specialist Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| RACHEL F. WEBER | PT | 1528061249 |
| MARNIE CLEMENS | DPT | 1588666549 |
| THOMAS MICHAEL MARTIN | RPT | 1497759450 |
| MRS. SUSAN MICHELLE WOOD | MOTR/L | 1487650107 |
| DR. SHIV U NAVADA | MD | 1740286327 |
| MRS. KATHY M HOARE | CMF | 1184796906 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.