Provider Demographics
NPI:1255456877
Name:SPANITZ, CHRISTY LEIGH (ATC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LEIGH
Last Name:SPANITZ
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LEIGH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7144B HOFFADECKEL CT
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066
Mailing Address - Country:US
Mailing Address - Phone:610-298-2853
Mailing Address - Fax:610-298-3102
Practice Address - Street 1:7144B HOFFADECKEL CT
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066
Practice Address - Country:US
Practice Address - Phone:610-706-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0030042255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer