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Contact Information

CAROL A SPARKS, PT, DPT
4855 BLUE DIAMOND RD STE 210
LAS VEGAS, NV89139-7602
 Phone: 725-207-3770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAROL A SPARKS · (Female)

NPI Number 1053094292
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 08/14/2023
Last updated 08/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 6246
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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