Doctor Name: | CANDACE RAE SPARKS |
NPI Number: | 1013296607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 9038 |
Business Practice Address: | 6286 Briarcrest Ave Suite 110 Memphis, TN - 381204023 |
Business Phone Number: | 9012591600 |
Business Fax Number: | 9012591698 |
Mailing Address: | Po Box 8888, BELFAST |
State: | ME |
Postal Code: | 049158888 |
Phone Number: | 9012594260 |
Fax Number: | 9012592785 |
NPI Enumeration Date: | 08/12/2011 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |