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1023717816
TED RYAN SPARKS
BRISTOL, TN
NPI
1023717816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14051)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
TED RYAN SPARKS PT, DPT
109 RAYTHEON RD
BRISTOL, TN 37620-5813
Phone number: 423-484-8488
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Mailing Address
TED RYAN SPARKS PT, DPT
2017 CODY CV
BLUFF CITY, TN 37618-4382
Phone number: 828-385-3559
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