Organization Name: | SPARKS THERAPY SERVICES, PLLC |
NPI Number: | 1255505871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN L. SPARKS (PHYSICAL THERAPIST/MANAGING MEMBER) |
Mailing Address: | 1506 Park Ridge Ter Arlington |
State: | TX US |
Postal Code: | 760121929 |
Phone Number: | 8174613331 |
Fax Number: | 8174613331 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1169113 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |