Sparked Rehab And Athletics, Pllc

LBN: Sparked Rehab And Athletics, Pllc
Sparked Rehab And Athletics, Pllc is an health care organization with primary practice located at 109 Raytheon Rd , Bristol TN 37620-5813. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Sparked Rehab And Athletics, Pllc can be contacted via phone (423) 484-8488, or through Sparks, Ted Ryan via phone (423) 484-8488.

Contact Information

Primary practice address
109 Raytheon Rd Bristol TN 37620-5813
Phone: (423) 484-8488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Ted Ryan PT, DPT
Phone: (423) 484-8488

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1649979436
LBN Legal business name Sparked Rehab And Athletics, Pllc
DBA Doing business as
Authorized official Sparks, Ted Ryan PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2023
Last updated Mar 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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