IndividualActive
Mary Jo Sprouse, PT
NPI 1336301464 · Geriatric Physical Therapist · Calvert City, KY
Provider details
- NPI number
- 1336301464
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT - 000849 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10456 US Highway 62
Calvert City, KY 42029-9020
Phone: (270) 898-6240
Approximate (ZIP-level) locationGet directions
Mailing address
114 Ivey Rd
Benton, KY 42025-5347
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.