Provider Demographics
NPI:1619320892
Name:SPINOSA BARRIOS, AMELIA (MSPT)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:
Last Name:SPINOSA BARRIOS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:SPINOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7286
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:4957 SWINYAR DR STE 103
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-2205
Practice Address - Country:US
Practice Address - Phone:423-664-0800
Practice Address - Fax:423-664-0801
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT10239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
502659307OtherPASSPORT