Individual provider · Type 1 NPI

Jack Anthony Spatafore, DPT/MS

Specialist · Bridgeport, WV

NPI number 1093711657 Active

Practice location

306 W Main St
Bridgeport, WV 26330-1751

Fax (304) 842-3138

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X002038 (WV)
Physical Therapist 225100000X002038 (WV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093711657

Jack Anthony Spatafore, DPT/MS's National Provider Identifier is 1093711657, issued on Jun 28, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeport, WV. The record was last updated on Mar 25, 2009.