Doctor Name: | SANDRA EVELYN PARKS |
NPI Number: | 1538590914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 005337 |
Business Practice Address: | 181 W Professional Park Ct Suite 1 Bowling Green, KY - 421043250 |
Business Phone Number: | 2708435300 |
Business Fax Number: | 2708435383 |
Mailing Address: | Po Box 51322, BOWLING GREEN |
State: | KY |
Postal Code: | 421025622 |
Phone Number: | 2707779283 |
Fax Number: | 2707771550 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |