Individual
KACI AMANDA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 793-3900
(806) 793-3937
Mailing address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 793-3900
(806) 793-3937
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1200336
TX
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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