Mrs. Mary Jo Sprouse
Physical Therapist - Geriatrics
10456 Us Highway 62
Calvert City
, Kentucky 42029-9020
Mrs. Mary Jo Sprouse
Physical Therapist - Geriatrics
10456 Us Highway 62
Calvert City
, Kentucky 42029-9020
(270) 527-9801
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mrs. Mary Jo Sprouse
- 114 Ivey Rd
- Benton, KY
- Zip : 42025-5347
- Phone : (270) 527-9801
Second Address
- Mrs. Mary Jo Sprouse
- 10456 Us Highway 62
- Calvert City, KY
- Zip : 42029-9020
- Phone : (270) 898-6240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 05009431A | IN |
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT - 000849 | KY |
| N | 2251G0304X | Physical Therapist - Geriatrics | PT001024E | PA |
National Provider Identifier
| NPI | 1336301464 |
|---|---|
| Provider Name | Mrs. Mary Jo Sprouse |
| First Address | Benton, KY 42025-5347 |
| Second Address | Calvert City, KY 42029-9020 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2008 |
| Last Update Date | 30/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.