Individual provider · Type 1 NPI

Mary Jo Sprouse, PT

Geriatric Physical Therapist · Calvert City, KY

NPI number 1336301464 Active

Practice location

10456 US Highway 62
Calvert City, KY 42029-9020

Mailing address

114 Ivey Rd
Benton, KY 42025-5347

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304XPT - 000849 (KY)
Geriatric Physical Therapist 2251G0304X05009431A (IN)
Geriatric Physical Therapist 2251G0304XPT001024E (PA)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

5 other providers at this address

About NPI 1336301464

Mary Jo Sprouse, PT's National Provider Identifier is 1336301464, issued on Jun 30, 2008. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Calvert City, KY. The record was last updated on Jun 30, 2008.