Jenna Renee Sparks, LAT, ATC
Jenna Renee Sparks, LAT, ATC is a Pediatric Sports Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2020.
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
1801 N Senate Blvd Ste 400Indianapolis, IN 46202-1245
Phone: (317) 944-9400
Fax: (317) 963-3289
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 36003333A (IN) |
|---|---|
| Pediatric Sports Medicine Physician | Taxonomy 2080S0010X · Licence 36003333A (IN) |
| Sports Medicine (Preventive Medicine) Physician | Taxonomy 2083S0010X · Licence 36003333A (IN) |
Record details
| NPI number | 1639782907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | August 26, 2020 |
| Last updated in NPPES | January 6, 2021 |
| Certification date | January 6, 2021 |