NPI 1154432185

Wade Duncan Sparks, RKT

Practitioner Kinesiotherapist Columbia, SC

Practice location

Address: 6439 Garners Ferry Rd, Columbia, SC 29209-1638
Phone: (803) 776-4000
Mailing address: 59 Loggerhead Dr, Columbia, SC 29229-7911

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 1377 (FL)

Other Kinesiotherapist providers in South Carolina →

Registry record

NPI: 1154432185
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.