Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Ruth Spencer Parks, PTA

Individual provider Physical Therapy Assistant · NPI 1710319199

Mrs. Kimberly Ruth Spencer Parks, PTA is a Physical Therapy Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

8725 Digital Dr Apt 302
Charlotte, NC 28262-4384
Phone: (813) 404-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5141 (NC)

Record details

NPI number1710319199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013

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