Provider Demographics
NPI:1558482216
Name:SPENCER, CARI ANN (ND, PT)
Entity Type:Individual
Prefix:DR
First Name:CARI
Middle Name:ANN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:ND, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 AUBURN RAVINE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3719
Mailing Address - Country:US
Mailing Address - Phone:530-878-5388
Mailing Address - Fax:
Practice Address - Street 1:251 AUBURN RAVINE RD STE 101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3719
Practice Address - Country:US
Practice Address - Phone:530-878-5388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 1416175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath