Provider Demographics
NPI:1356194138
Name:DUNCAN, SPENCER LEO (DPT)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:LEO
Last Name:DUNCAN
Suffix:
Gender:M
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:PO BOX 711185
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84171-1185
Mailing Address - Country:US
Mailing Address - Phone:435-274-3532
Mailing Address - Fax:
Practice Address - Street 1:1050 S MEDICAL DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:UT
Practice Address - Zip Code:84647-2200
Practice Address - Country:US
Practice Address - Phone:435-274-3533
Practice Address - Fax:435-274-3515
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist