NPI 1174736540

Shawn Patrick Sparks, ATC

Practitioner Athletic Trainer Biloxi, MS

Practice location

Address: 15012 Lemoyne Blvd, Biloxi, MS 39532-5205
Phone: (228) 396-1285
Fax: (228) 396-9562
Mailing address: 1633 S. 11th St., Ocean Springs, MS 39564

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0312 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1174736540
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2007
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.