Individual
TODD A SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, NASM-PES
Contact information
Practice address
206 PAGE AVE, ORTHOPAEDIC REHAB SPECILISTS, JACKSON, MI 49201-2418
(517) 740-6079
Mailing address
206 PAGE AVE, ORTHOPAEDIC REHAB SPECILISTS, JACKSON, MI 49201-2418
(517) 740-6079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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