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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNER SPODEN

Active Sole Proprietor

TANNER SPODEN is a Athletic Trainer healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1326586538 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CRYSTAL LAKE, IL

Registration Details

NPI Number
1326586538
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2017 (9.4995583753018 yrs)
Last Updated
May 17, 2019
Sole Proprietor
Yes

Practice Information

Address
1781 KENNSINGTON LN
CRYSTAL LAKE, IL, 600142051
Browse IL providers · Browse ZIP 60014
Phone
8153535091
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in CRYSTAL LAKE, IL

Name Credential NPI
MR. KEVIN FRANKLIN BARNES A.T.C./L. 1346394236
ANDREW HOWARD 1104223924
MRS. REBECCA E CHESKI ATC 1306235882
ERIN O'BRIEN ATC 1497220123
KELSEY R WEDWICK ATC 1154032274
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.