SPARK MOTION PT LLC NPI 1649609017

NPI Information

SPARK MOTION PT LLC is a specialist in Bethesda, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPARK MOTION PT LLC NPI is 1649609017. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5420 BUTLER RD
SUITE 102
BETHESDA, MD
ZIP 20816-506
Phone: (240) 460-8983
Fax: (240) 497-1464

The provider's authorized official is Patrick Thomas Kennelly .
The authorized official title is Owner and has the following contact phone number (240) 460-8983.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.