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Contact Information

KATHERINE SPENCER, DPT
3243 W 3RD ST
BLOOMINGTON, IN47404
 Phone: 812-668-1880
 Fax: 812-668-1881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATHERINE SPENCER · (Female)

NPI # 1053720375
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/12/2014
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 05011908A
  • LA License # 08864
  • LA Medicaid 1174173
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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