Sheila Marie Sparks, OT
Individual provider Active NPI Neurorehabilitation Occupational Therapist · Lake City, TN
NPI 1609090265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609090265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurorehabilitation Occupational Therapist 225XN1300X
- License
- 01493 (TN)
- Practice address
- 204 Industrial Park Road
Lake City, TN 37769 - Phone
- (865) 426-2147
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01493 | TN | MD | Neurorehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 01493 | TN | Yes |
Addresses
Primary practice location
204 Industrial Park Road
Lake City, TN 37769
Mailing address
9546 Trails End Rd
Knoxville, TN 37931-4219
Phone (865) 368-9582
Other providers in Lake City, TN
- Marks Pharmacy
- Marks Pharmacy
- Wendy Braden Miller
- Ronald E. Noe
- Mark Thomas Smith
- Summit View of Lake City, LLC
- Michelle Leigh Wyrick
All providers in Lake City, TN · Neurorehabilitation Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.