Individual provider · Type 1 NPI

Tanner Spade, DPT, OCS, SCS

Physical Therapist · Buffalo, WY

NPI number 1659961845 Active

Practice location

109 W Hesse St
Buffalo, WY 82834-1501

Fax (844) 409-0424

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT-1715 (WY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1659961845

Tanner Spade, DPT, OCS, SCS's National Provider Identifier is 1659961845, issued on Jan 21, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Buffalo, WY. The record was last updated on Jul 9, 2026.