Provider Demographics
NPI:1457921496
Name:SPREEMAN, GARTH
Entity Type:Individual
Prefix:
First Name:GARTH
Middle Name:
Last Name:SPREEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 FAIRWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-2805
Mailing Address - Country:US
Mailing Address - Phone:402-649-9798
Mailing Address - Fax:
Practice Address - Street 1:700 MEASE PLZ
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6680
Practice Address - Country:US
Practice Address - Phone:402-649-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant