Individual
JESSICA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 E SANDERS LN, MOUNT WASHINGTON, KY 40047-7557
(502) 251-3821
Mailing address
1255 ASH ST, LOUISVILLE, KY 40217-1561
(812) 430-7801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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