NPI 1184279325

Sara Nicole Sparks

Practitioner Athletic Trainer Pella, IA

Practice location

Address: 812 University St, Pella, IA 50219-1902
Phone: (877) 462-3687
Mailing address: 202 W Steenhoek St Unit B, Prairie City, IA 50228-8812

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 108741 (IA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1184279325
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2019
Record last updated: 11 Jun 2021

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.