Individual
EMILY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
PO BOX 106, ALLEN, KY 41601-0106
(606) 791-9068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A04054
KY
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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