Provider Demographics
NPI:1710235155
Name:SPRAGGS-YOUNG, KAROL (OT)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:SPRAGGS-YOUNG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KAROL
Other - Middle Name:E
Other - Last Name:SPRAGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 W MILLS ST STE 104
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-9426
Mailing Address - Country:US
Mailing Address - Phone:828-980-8818
Mailing Address - Fax:
Practice Address - Street 1:155 W MILLS STREET SUITE 104
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-4265
Practice Address - Country:US
Practice Address - Phone:828-980-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2473225XP0019X
SC2261225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist