Individual
KATIE PHOMMALINH SPRINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(877) 991-7837
Mailing address
3626 STEVE IKERD DR NE, HICKORY, NC 28601-9731
(828) 256-6439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
NC
Enumeration date
04/28/2009
Last updated
04/28/2009
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