Organization
SPARKED REHAB AND ATHLETICS, PLLC
Active
Other names
Sparks Rehab and Athletics, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TED RYAN SPARKS PT, DPT (OWNER, PHYSICAL THERAPIST)
(423) 484-8488
Entity
Organization
Contact information
Practice address
109 RAYTHEON RD, BRISTOL, TN 37620-5813
(423) 484-8488
Mailing address
2017 CODY CV, BLUFF CITY, TN 37618-4382
(828) 385-3559
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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