Provider Demographics
NPI:1801984992
Name:SPICHER, STEPHANIE S (MS OT)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:S
Last Name:SPICHER
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:410 ROSEBANK AVENUE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206
Mailing Address - Country:US
Mailing Address - Phone:615-585-8859
Mailing Address - Fax:
Practice Address - Street 1:300 STONECREST BLVD STE 375
Practice Address - Street 2:SUITE 375
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37206
Practice Address - Country:US
Practice Address - Phone:615-220-5796
Practice Address - Fax:615-220-8829
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2650225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist