Individual
KELSEY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14631 WELLSTEAD DR, HALLSVILLE, MO 65255-4520
(660) 988-0103
Mailing address
14631 WELLSTEAD DR, HALLSVILLE, MO 65255-4520
(660) 988-0103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023002806
MO
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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