Individual provider · Type 1 NPI

Tessa Spangenburg

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1407784119 Active

Practice location

40 Goodyear Road, Kimball Tower
Buffalo, NY 14214

Mailing address

32 Mapleshade Ave
Falconer, NY 14733-1049

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407784119

Tessa Spangenburg's National Provider Identifier is 1407784119, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on May 12, 2026.