Provider Demographics
NPI:1568445609
Name:SPINDLER, ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:SPINDLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 FRESNO AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-2742
Mailing Address - Country:US
Mailing Address - Phone:530-544-4400
Mailing Address - Fax:530-544-5936
Practice Address - Street 1:2565 LAKE TAHOE BLVD
Practice Address - Street 2:2ND FLR
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-7702
Practice Address - Country:US
Practice Address - Phone:530-544-4400
Practice Address - Fax:530-544-5936
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27539111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician