Provider Demographics
NPI:1831158013
Name:SPADACCINI, JEANNE SCHNEYER (PT)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:SCHNEYER
Last Name:SPADACCINI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:ELIZABETH
Other - Last Name:SCHNEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8120 PENN AVENUE SOUTH
Mailing Address - Street 2:SUITE 480
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431
Mailing Address - Country:US
Mailing Address - Phone:952-929-7000
Mailing Address - Fax:952-929-2200
Practice Address - Street 1:8120 PENN AVENUE SOUTH
Practice Address - Street 2:SUITE 480
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431
Practice Address - Country:US
Practice Address - Phone:952-929-7000
Practice Address - Fax:952-929-2200
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist