Provider Demographics
NPI:1306830518
Name:GINDLESPERGER, CRAIG DEAN (ATC/L)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:DEAN
Last Name:GINDLESPERGER
Suffix:
Gender:M
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7477 MASON DIXON HWY
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-7206
Mailing Address - Country:US
Mailing Address - Phone:814-634-5374
Mailing Address - Fax:
Practice Address - Street 1:7477 MASON DIXON HWY
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-7206
Practice Address - Country:US
Practice Address - Phone:814-634-5374
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001132A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer