| NPI | 1649979436 |
|---|---|
| Former Legal Business Name | SPARKS REHAB AND ATHLETICS, PLLC |
| Entity Type | Organization |
| Authorized Contact | TED RYAN SPARKS Owner, Physical Therapist 423-484-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |