# URBAN SPARK ELECTROLYSIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003505355
- **Authorized official:** STEPHANI TARRAFERRO P.E. (ELECTROLYGIST/OWNER)
- **Authorized official phone:** (720) 595-5060

## Contact information

- **Practice address:** 6650 W 44TH AVE STE 2A, WHEAT RIDGE, CO 80033-4711
- **Practice address phone:** (720) 595-5060
- **Mailing address:** 9162 ALBION ST, THORNTON, CO 80229-4128
- **Mailing address phone:** (720) 595-5060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2023
- **Last updated:** 05/03/2023