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Contact Information

JENNA R SPARKS, LAT, ATC
1801 N SENATE BLVD STE 400
INDIANAPOLIS, IN46202-1245
 Phone: 317-944-9400
 Fax: 317-963-3289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JENNA R SPARKS · (Female)

NPI Number 1639782907
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 08/26/2020
Last updated 01/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 36003333A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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