Provider Demographics
NPI:1760075329
Name:SPAHN, ALEXIS KATE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:KATE
Last Name:SPAHN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 RYECROFT RD NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-5393
Mailing Address - Country:US
Mailing Address - Phone:904-622-6048
Mailing Address - Fax:
Practice Address - Street 1:4890 UNIVERSITY SQ STE 7
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1896
Practice Address - Country:US
Practice Address - Phone:256-837-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist