IndividualActive
Wade Sparks, RKT
NPI 1154432185 · Kinesiotherapist · Columbia, SC
Provider details
- NPI number
- 1154432185
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RKT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1377 (FL)
Mailing address
59 Loggerhead Dr
Columbia, SC 29229-7911
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.