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Brandon Spack, ATC, LAT
NPI 1558647420 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1402 Chase Court
Carmel, IN 46032 - Phone
- (317) 848-5867
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana