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Contact Information

MARY JO SPROUSE, PT
10456 US HIGHWAY 62
CALVERT CITY, KY42029-9020
 Phone: 270-898-6240
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY JO SPROUSE · (Female)

NPI Number 1336301464
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/30/2008
Last updated 06/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 05009431A
  • KY License # PT - 000849
  • PA License # PT001024E
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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