Provider Demographics
NPI:1437034477
Name:THROGMORTON, SPENCER (DPT)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:
Last Name:THROGMORTON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 BIES DR APT 302
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-5169
Mailing Address - Country:US
Mailing Address - Phone:702-525-4553
Mailing Address - Fax:
Practice Address - Street 1:245 RAILROAD AVE STE F2
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7408
Practice Address - Country:US
Practice Address - Phone:563-231-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist