Provider Demographics
NPI:1649603192
Name:SPIGARELLI, RUDIE (PT)
Entity type:Individual
Prefix:DR
First Name:RUDIE
Middle Name:
Last Name:SPIGARELLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 LOS RANCHOS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3901
Mailing Address - Country:US
Mailing Address - Phone:512-953-7626
Mailing Address - Fax:512-456-3202
Practice Address - Street 1:8306 LOS RANCHOS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-3901
Practice Address - Country:US
Practice Address - Phone:512-953-7626
Practice Address - Fax:512-456-3202
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12346492251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic